CLIENT INFORMATION FORM - Wildside Nature Tours

Once you have completed your deposit via our Paypal Credit Card Portal, please complete this CLIENT INFORMATION FORM to finalize your space on our trip. Our website is verified and secure, and this information will be seen only by necessary Wildside team members and affiliates (such as local airlines and/or government officials) who require the information to complete our trip arrangements.
DO NOT print and mail this form, complete online ONLY.

Quick Survey
How did you first learn of Wildside?*
Which search engine?*
Which Magazine?*
Which Social Media Outlet?
Which Program?*
Which Festival or Event?*
Which Club and/or Presentation?

Who or Where?

Comments

Tour Info
Tour On Which You've Registered*

Traveler Info
Name (As it appears on passport)*
Be sure to include middle name or initial as it appears on passport
First Middle Last
Preferred Name or Nickname
The name to which you typically answer
First
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Home Phone*
Mobile Phone*
Passport Info

Date of Birth*
MM slash DD slash YYYY

Gender*
Citizenship*

Passport Number
Required ONLY for international tours

Expiration Date
Must be more than 6 months past departure date
MM slash DD slash YYYY

Passport Place of Issue
State and/or Country

Health Info
Height*

Weight*

Can you walk 2 miles at an easy pace?*
Although most of our trips are at a relaxed pace we do need to gauge the capabilities of our guests. You should be able to walk 2 miles at an easy page to join our trips.
Special Dietary Needs*
Please include food allergies, vegetarian, vegan, etc. If none, please enter NONE.

Physical or Health Restrictions*
Please include non-food allergies, physical limits, etc. If none, please enter NONE.

Current Medications*
If none, please enter NONE.

Emergency Contact*

Relationship

Daytime Phone*
Mobile Phone*
Roommate Preference*
Note: Certain locations may have limited single rooms available. Most boat trips do not have single cabins available.

I am traveling with my roommate

Please find a roommate for me (if none is available I understand I may be charged the single supplement fee)

I prefer a single room (where available) and will pay the single supplement fee.
Bed Preference*

We prefer ONE bed

We prefer TWO beds
Additional "Traveler 2" Information

I would like to add my roommate's info now as "Traveler 2"

Traveler 2 will send their information separately
Traveler 2 Name*
Name as it appears on passport.
First Middle Last
Traveler 2 Nickname
First
Traveler 2/Roommate's Name*
First Last

Traveler 2 lives at the same address and home phone

Traveler 2's address and home phone are different
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Traveler 2 Mobile Phone
Traveler 2 Email

Traveler 2 Date of Birth*
MM slash DD slash YYYY

Traveler 2 Gender*
Traveler 2 Citizenship*

Traveler 2 Passport Number
Required ONLY for international tours

Traveler 2 Passport Expiration Date
MM slash DD slash YYYY

Traveler 2 Passport Place of Issue

Enter City - State - Country
Traveler 2 Height*

Traveler 2 Weight*

Can you walk 2 miles at an easy pace?*
Although most of our trips are at a relaxed pace we do need to gauge the capabilities of our guests. You should be able to walk 2 miles at an easy page to join our trips.
Traveler 2 Special Dietary Needs*
Please include food allergies, vegetarian, vegan, etc. If none, please enter NONE.

Traveler 2 Physical or Health Restrictions*
Please include non-food allergies, physical limits, etc. If none, please enter NONE.

Traveler 2 Current Medications*
If none, please enter NONE.

Traveler 2 Emergency Contact*

Same as Traveler 1

Different Contact Info
Traveler 2 Emergency Contact*

Traveler 2 Contact Relationship

Traveler 2 Emergency Daytime Phone*
Traveler 2 Emergency Mobile Phone*
The Fine Print...
Here is the fine print required by our insurance company!
Since our programs specialize in viewing wildlife, every effort is made to plan programs where wildlife is known to exist. However, the animals we visit live wild and free and we cannot fully predict or control their migratory patterns (nor would we want to). In an attempt to locate wildlife which may have deviated from its normal pattern or in the interest of traveler comfort or safety, we may be required to make reasonable changes in itineraries. If it is necessary to change hotels, boats or other facilities, comparable accommodations will be substituted wherever possible. If such changes or fluctuations in exchange rates occur, additional costs may require the program fee to change with little or no notice.

Terms & Conditions
Wildside Nature Tours and our cooperating agents make every effort to select reliable suppliers and contractors to provide air and other transportation, hotels, guides, and other travel related services; we do not assume responsibility, directly or indirectly, for any loss, damage or injury to property or person in connection with such services. Each traveler agrees not to hold Wildside Nature Tours, its owners, employees, agents or representatives liable, in the absence of their own gross negligence, for any loss or injury, expense, or damage which results directly or indirectly from any act or omission of any person or firm which is to or does provide goods or services in connection with the trip or with any available option.

Wildside Nature Tours and its cooperating agents shall not be liable for circumstances arising as a result of Acts of God, weather, detention, annoyance, delays and expenses arising from quarantine, strikes, theft, pilferage, force majeure, military, political or terrorist action, civil disturbances, government restrictions, failure of any means of conveyance to arrive or depart as scheduled, discrepancies or changes in transit over which they have no control. Wildside Nature Tours reserves the right to change the program fee, dates or itinerary with little or no notice. If such changes do occur, no refunds will be made beyond those described in our cancellation policy and Wildside Nature Tours will not be liable for expenses incurred as a result of the change (such as air ticket change fees, etc.).

Safety & Trip Enjoyment
Wildside Nature Tours plans these trips in natural areas where the environment can sometimes lead to unpredictable conditions. To avoid possibly dangerous situations, both for our travelers and the animals, it is extremely important that all travelers obey the rules and regulations set forth by the Tour Leaders and/or Local Guides. We reserve the right to prohibit any traveler from continuing on a journey if, in our opinion, that traveler’s actions pose a threat to the safety of themselves, others, or to the wildlife, or if that traveler’s actions or behaviors are seriously jeopardizing the enjoyment of the trip for others.

Participation in the program will require that travelers sign releases and covenants not to sue Wildside Nature Tours or its participating agents in the absence of their own gross negligence. On advancement of a deposit, the traveler agrees to be bound by the terms and conditions set forth above.

Please Note
The information in our brochures is prepared well in advance of departure dates. Due to the nature of the programs we provide, hotels, modes of transportation, and, in some cases, itineraries change. If this does occur, we will attempt to provide similar facilities but are not always able to do so. We hope you understand.

Cancellation & Refund Policies
We understand how disappointing it is for travelers in the event they are forced to cancel their adventure, especially one that they have been looking forward to for a long time. But we too plan for these adventures for quite a long period prior to departure and must continuously send non-refundable payments to hotels and suppliers of transportation. Therefore we must strictly adhere to our Cancellation & Refund Policy for all travelers.

The following are cancellation policies for our adventures
All cancellations must be made in writing. Unless clearly noted otherwise on the specific tour’s web page description, all cancellations made outside the deadlines listed below require a $100 cancellation fee to cover administrative costs.

Land-based trips, cancellations made less than 120 days prior to departure date require a loss of 100% of the entire program fee including all extensions.

Boat-based tours (Galapagos, Amazon, Alaska, etc.), cancellations made less than 180 days prior to departure date require a loss of 100% of the entire program fee including all extensions.

INSURANCE
We suggest purchasing travel insurance in case of unforeseen events. A link to Travelex Insurance Services can be found at https://wildsidenaturetours.com/trip-insurance or call them toll free at 1.844.240.8392 for benefit information and rates.

PLEASE NOTE: ALL BOAT BASED TOURS REQUIRE TRIP INSURANCE WITH EMERGENCY MEDICAL COVERAGE OF AT LEAST $25,000 TO BE PURCHASED-NO EXCEPTIONS!

Binding Arbitration and Waiver of Class Actions
I agree that any disputes concerning Wildside's Terms & Conditions, this Agreement, literature regarding the Trip, or the Trip itself, shall be resolved by binding arbitration pursuant to the Federal Arbitration Act, 9 U.S.C. §§ 1-6, either pursuant to the then-existent commercial rules of the American Arbitration Association (AAA) or the Comprehensive Arbitration Rules & Procedures of the Judicial Arbitration and Mediation Services, Inc. (JAMS). These proceedings shall be governed by the substantive, but not procedural, law of the State of Pennsylvania, shall apply without any consideration or regard to the Pennsylvania Revised Uniform Arbitration Act, and shall take place in Bucks County, Pennsylvania. The arbitrator and not any federal, state or local court or agency shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, enforceability, conscionability, or formation of this contract, including, but not limited to, any claim that all or any part of this contract is void or voidable. By agreeing to these terms and conditions, I, as well as Wildside, waive our right to a trial by jury.

THIS RELEASE PROVIDES FOR THE EXCLUSIVE RESOLUTION OF ANY DISPUTES THROUGH ARBITRATION ON A GUEST’S OWN BEHALF INSTEAD OF THROUGH ANY CLASS OR REPRESENTATIVE ARBITRATION OR LAWSUIT. EVEN IF THE APPLICABLE LAW PROVIDES OTHERWISE, GUEST AGREES THAT ANY ARBITRATION OR LAWSUIT AGAINST ANY RELEASED PERSON WHATSOEVER SHALL BE LITIGATED BY GUEST INDIVIDUALLY AND NOT IN COMBINATION WITH OTHER GUESTS WHO ARE NOT FAMILY MEMBERS OR AS A MEMBER OF ANY PUTATIVE OR CERTIFIED CLASS OR AS PART OF A CLASS ACTION, AND GUEST EXPRESSLY AGREES TO WAIVE ANY LAW ENTITLING GUEST TO PARTICIPATE IN A CLASS ACTION. GUEST ALSO AGREES THAT THE ARBITRATOR SHALL HAVE NO AUTHORITY TO ARBITRATE CLAIMS ON A CLASS OR CONSOLIDATED BASIS.

IMPORTANT! Please Read then check the box "I/We Agree" and Enter Date

I understand that by checking the box below I am acting for myself and for everyone in my party in acknowledging that Wildside Nature Tours’ Viewing the Wildlife & Itinerary Changes, Terms & Conditions, Safety & Trip Enjoyment, Cancellation & Refund Policies and Please Note sections on this form have been read and accepted. I also understand that I and everyone in my party will be required to sign this release of liability form prior to and/or during my trip. I give my permission for Wildside Nature Tours to charge my final balance plus 5% administrative fees 120 days prior to departure, if payment for full amount of tour is not received by check made out to WILDSIDE. I also give my permission for Wildside Nature Tours to use any image taken of me or anyone in my party by Wildside Nature Tours or its affiliates for promotional purposes.

SUBMIT BUTTON WILL APPEAR AFTER DATE IS ENTERED AND BOX IS CHECKED

Enter Today's Date*
MM slash DD slash YYYY

Check box to complete registration and activate submit button.*
I / We have read and fully understand, and agree to, the Wildside Nature Tours Cancellation Policy & Release and Indemnity Agreement as well as the Travel Insurance policies. (Submit button will not show unless box is checked showing agreement.)
Phone
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888-875-9453

WILDSIDE CLIENT INFORMATION FORM

Quick Survey

Tour Info

Traveler Info

Passport Info

Health Info

The Fine Print...

Here is the fine print required by our insurance company!

Terms & Conditions

Safety & Trip Enjoyment

Please Note

Cancellation & Refund Policies

The following are cancellation policies for our adventures

INSURANCE

PLEASE NOTE: ALL BOAT BASED TOURS REQUIRE TRIP INSURANCE WITH EMERGENCY MEDICAL COVERAGE OF AT LEAST $25,000 TO BE PURCHASED-NO EXCEPTIONS!

Binding Arbitration and Waiver of Class Actions

IMPORTANT! Please Read then check the box "I/We Agree" and Enter Date