Freycinet & Strahan Adventures
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Booking Request Form

This form must be completed by each person prior to tour departure.
Please contact us if you have any questions.

required field = Required

 Tour Selection

Tour selected required field
Tour Date required field
Tour Time
 Your details 
Full name required field
Date of Birth
Address
City
State required field
Postcode required field
Phone/Mobile required field
Email required field
Fax
For contact purposes only, please list your accommodation / contact details for the night prior to your tour:
 Where did you first hear about these tours?
 Would you like to receive information on special deals and new tours from Freycinet Adventures Yes No
For your comfort and safety please complete the following details: 
(this information will be kept confidential)
Can you swim? (kayaking tours only)                    Kayaking tours onlyYes No required field  
Expected Life-Jacket size?             Kayaking tours onlySmall Medium Large XL XXL required field
Please detail any known medical conditions including any joint or muscular problems. (e.g. heart conditions, asthma, allergies, pregnancy etc) 
Please specify any medications you are currently taking
Do you have any special dietary requirements or food allergies?  
 

 Other Requirements

The following items are available for purchase to make your trip more enjoyable - please indicate the amount of each item you wish to purchase. 
A range of Tshirts are also available for purchase at our office.

 Hat $15                                      
 Drinking water $2.50                                      
 Waterproof Disposable Camera $15                                                  
 Package (one of each item) $30                                              
 Your Acceptance 
required field I have read and accept the Acceptance of Risk and Booking Terms & Conditions, including cancellation policy
Click for details on:  Acceptance of Risk     Booking Terms & Conditions
 
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