Client Information to be Completed & Download Latest Prices

Are you a hunter or an observer?

Client/Hunter
Observer

(Each Client/Hunter/Observer to complete his/her own form.)

Full Name & Surname

First

Last

Address & Passport No

First

Last

Country & Expiry Date

First

Last

Date of Birth & Nationality

First

Last

Email & Contact No

First

Last

Occupation & Size – Safari Shirt

First

Last

Health Condition/Fitness

Medical Insurance

Preliminary dates of your planned safari with us:

Date of Departure

Date of First Day In Camp

Date of Last Day In Camp

NB: It is Your Own Responsibility to Check Visa and Entry Requirements for the Country you will be Visiting or in Transit of.

Arrival From

Arrival Time

Arrival Flight Number

Drink Requirements: We will try our Best to Provide you with your Favourite Drink, if Available in the Destination of your Safari. Certain Drinks are not Available Everywhere.

Other Beverages

Food Requirements:

Other Food

Any Food and Drink Requirements we need to Know About?

Any Allergies and/or any Medical Conditions that we need to be Aware of?

Please State if there are Any Other Requirements/Restrictions that Need to be Considered During Your Hunt:

Please State if you Have Hunted in Any African Country, and Name the Species Taken and Dates:

Species Wish List (Select the Species you Would like to Hunt. Please View the Species Price List for Prices)

Hunting Package: Visit the "Packages" Page for more Info and Prices.

Would you Prefer to Bring Your Own Hunting Rifle/s Over to Hunt Here in South Africa?

Rifle Information

Signature

I duly authorize the owner of Uitvlugt Hunting Safaris to utilize any images and/or videos from my hunting experience for promotional activities related to his hunting enterprise. Kindly indicate below if you grant permission for your pictures and/or footage to be posted on the following platforms: Facebook Page – Uitvlugt Hunting Safaris, Instagram – https://www.instagram.com/africanwildsidesafaris/ and the website www.africanwildsidesafaris.com. If, at any point, you wish to have your pictures and/or footage removed from these platforms, please contact the owner through the communication channels provided in the header.

CLIENT INFORMATION