Each traveller should fill this form out individually
Before you begin, please make sure you have
your passport and emergency contacts on hand
The form will not save – you have to complete it in one sitting.
Wilderness Explorers is committed to protecting your privacy. This information is transmitted and stored using 256-bit SSL, the most secure available technology for web forms. Information supplied will not be used for any purpose other than to prepare for – and manage – your journey with us. This data will be purged at the conclusion of your trip.
If you are uncomfortable submitting your information online, you may download this PDF form and send it to us as an email attachment or via international courier (i.e. DHL) at your expense. Please note that documents sent via standard email or hand-delivered mail are considered more prone to privacy breaches than secure online forms.