KAMZANG TRIP BOOKING FORM
Terms & Conditions
Waiver & Release
Date of Issue
Date of Expiry
Date of Birth
Emergency contact details &/or next of kin
(Full Contact Details)
Vegetarian &/or special dietary requirements
Flight Details - Arrival
Flight Details - Departure
Pre-existing medical conditions &/or allergies?
Have you had a FULL medical check-up?
Previous issues with AMS, cerebral edema &/or pulmonary edema?
Travel Medical Insurance?
I have read the full ITINERARY and information pages for the trip booked, read and understood the CONTRACT & BOOKING FORM & agreed to and signed the WAIVER & RELEASE by checking this box