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THE ELEPHANT BOOKING FORM (all fields required)
Your name (first & last):
(Required.)
Riding or non-riding?
Riding
Non-riding
Address
(Required.)
Suburb or Town
(Required.)
State or Province
(Required.)
Country
(Required.)
Postcode / Zip
(Required.)
Mobile phone number (including country code e.g. +61)
(Required.)
Your email address
(Required.)
Date of birth (DD/MM/YYYY)
(Required.)
Diet & allergies
Do you have any allergies or special dietary requirements? For example, food, insects, anaesthetic, penicillin, etc? If yes, please specify. If no, type 'no'.
(Required.)
Health conditions
Do you have a health condition? Have you had major surgery in the last six months? If yes, please specify. If no, type 'no'.
(Required.)
Medications
Are you taking any prescription medications that we should be aware of in the event of any emergency? If yes, please specify. If no, type 'no'.
(Required.)
Emergency contact name
(Required.)
Emergency contact phone number
(Required.)
Accommodation requirements
(Required.)
I'm travelling alone, please find me a room mate ($800 AUD ticket)
Single queen room please ($1000 AUD ticket)
Travelling together with my partner/friend ($800 AUD ticket per person)
None, I'm organising my own accommodation ($500 AUD ticket)
If 'travelling together' please tell us the name of your travel partner and if you need a twin or a queen room (e.g. Sally Jones-twin or John Smith-queen). And make sure they fill in their own registration form too.
Have you read and do you agree with the terms and conditions?
Please read The Elephant
Terms and Conditions
.
(Required.)
Yes
No
