Bushward Safaris Reservation form

Your Details

Please complete the form below and press "send form" at the end. Please note that all entries marked with " * " is required.

Please enter the tour name that you are going on
Please type in the date (yyyy-mm-dd)
Please type in the date (yyyy-mm-dd)
Please enter the name of the person sharing accommodation with you
Please select accommodation type required

Contact details


Dietary requirements

Please indicate if you have any dietary requirements - write "none" if not applicable
Please indicate if you have any food allergies - write "none" if not applicable

Medical conditions and Insurance

Please indicate if you have any medical conditions? - write "none" if not applicable
Please indicate if you allergic to anything? - write "none" if not applicable
Travel Insurance details, Insurance company, Policy number, Contact number/ Medical aid details

Vehicle details

Please enter the vehicle make and model if you are taking your own vehicle on the tour
Please enter the vehicle registration number
Please enter your vehicle colour
If marked "Yes", Please enter the trailer registration number
How many people will be with you in the vehicle?
I have read and fully understand the conditions and general information as set out by Bushward Safaris. I acknowledge that it is entirely my responsibility to ensure that I am adequately insured for the above venture. I furthermore indemnify Bushward Safaris, their staff, management and affiliates from any liability whatsoever, and realise that I undertake the above venture entirely at my own risk. (http://bushward.co.za/information/terms-and-conditions/)

How can we help?

Feel free to ask a question or simply leave a comment.