clientform | TOURS in MONGOLIA

Kazakh Tour- Client Information Form

Thank you for filling out Kazakh tour client information form. We would keep your information secure and safe.
* You would need your passport and insurance information to fill out this form.

Name *

First

Last

Name of your tour and Travel dates: *

Ex: Altai Tavan bogd Mixed Tour - 16th July- 24th July 2023

Email address: *

Phone number: *

Gender *

Male
Female

Upload Passport COPY *

Click or drag a file to this area to upload.

Please upload a clear copy of your passport. You can upload as .pdf document file or as any type of photo. We will get your passport information from your passport copy. Supported File types: .jpg, .pdf, .jpeg

Your Occupation: *

An occupation is what you do for work, but if you're retired, a student or a stay-at-home parent, that can be your occupation as well. This will help us to know more about you.

Any additional information

Allergies, Vegetarian etc.

EMERGENCY CONTACT INFORMATION

Emergency contact name: *

Example: Close relatives - Parents, Wife, GF etc.

Emergency contact phone number: *

Emergency contact email address: *

HEALTH INSURANCE INFORMATION:

You can leave it empty if you dont have any medical insurance.

Medical Insurance Carrier Name:

Medical Insurance Member ID:

Medical Insurance Plan #

24/7 phone # for Medical Insurance emergencies of your carrier:

Any additional information:

You can let us know any additional information about your health insurance.

RELEASE OF LIABILITY FOR TRIP: I understand that parts of this journey may be physically and/or emotionally demanding. I affirm that my health is good, and that I am not under a physician’s care for any undisclosed condition that bears upon my fitness or ability to participate in activities. I recognize the inherent risk of injury or disability in activities. I understand that each participant must assume the risk of physical injury that could result from any of the activities. I understand that as a participant, I may choose not to participate in any of the activities. I understand that the program is flexible, and may change due to cultural, weather, or other reasons. I release Kazakh Tour LLC and its staff, and the staff of any sponsoring organization from all liability for any injury, implied or otherwise, to me from participation in a journey planned by Kazakh Tour. *

I have read, I understand and fully agree.

Phone

Travel Safe and Happy
with KAZAKH TOUR team in MONGOLIA!