Client Registration Form

Please complete all sections accurately. Your information is used for tour logistics, safety support, and domestic flight bookings.

Traveler

Emergency

Insurance

Review

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Traveler Details

Client Information Form We securely collect this information to book domestic flights, confirm logistics, and support your safety during the trip. Your details are handled confidentially and used only for tour operations.

Full Name * Please enter your full name.

Tour Name * Please enter the tour name.

Travel Dates * Please enter your travel dates.

Email Address * Please enter a valid email address.

Phone Number * Please enter a valid phone number (min 8 digits).

Gender * Please select a gender.

Occupation * Please enter your occupation.

Passport Copy *

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Click to upload or drag and drop

JPG, PNG or PDF · Max 8 MB · Stored securely, sent as a download link

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Emergency Contact

Someone we can reach if you cannot be contacted

Contact Full Name * Please enter the emergency contact's name.

Contact Phone * Please enter a valid phone number.

Contact Email * Please enter a valid email address.

Relationship

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Insurance & Additional Info

Medical coverage and any other details we should know

Insurance Carrier

Member / Policy ID

Additional Information

Release of Liability

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.

I agree to the Release of Liability.*

What is 6 + 1 ? Human verification

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Review Your Details

Confirm your information before submitting

Step 1 of 4