• Birding
• Photography
• Family Adventures
Wildside Nature Tours
1.888.875.9453


This is a secure website and this information will not be shared nor seen by anyone but Wildside and the necessary affiliates who require it.

Client Information Form

Thank you for your payment. Your transaction has been completed, and a receipt for your deposit has been emailed to you. Please finalize your tour registration by completing the following form. This is a secure website and this information will not be shared nor seen by anyone but Wildside and the necessary affiliates who require it.

If you have not yet made your deposit, please return to the Registration Page before completing this form. Registration is not valid unles a deposit is received. If you prefer to mail this form to us, please download and print the Client Information Form PDF.

Enter Tour Choice & Dates
 Traveler 1
 Traveler 2
Gender
Full Legal Name
as it appears on your passport
But I prefer to be called
Address
City
State/Province
Zip/Postal Code
Country (if not USA)
Primary Phone
Secondary Phone
Email Address
I will be traveling alone and prefer
My travel companion and I prefer
Passport Information: Required for all trips taking place outside the USA. Many destinations require this information for internal flights and visas--without this info we many not be able to secure these.
 Traveler 1
 Traveler 2
Passport Number
Expiration Date (dd/mm/yyyy)
Nationality
Birth Date (dd/mm/yyyy)
If you are currently obtaining a new passport check here
Diet and Medical Information: Many of our trips travel to remote destinations without sophisticated medical facilities. Please complete this section so we may be aware of any specific needs or conditions.
 Traveler 1
 Traveler 2
Do you smoke?
Please list any dietary needs
List any medical conditions
List any allergies
List any mental health issues
Please note: The following conditions may not be encountered on every trip.
Can you walk/hike 2-4 miles?
Over rough or uneven terrain?
Up moderate to steep hills?
In mud or snow?
In cold conditions?
In hot or humid conditions?
If you answered NO to any of the above, please describe
How much do you weigh?
Required for some internal flights
Emergency Contacts:
 Primary Contact
 Secondary Contact
Full Name
Relationship
Primary Phone
Secondary Phone
How did you hear about us?
How will you pay your final balance? (Due 120 days prior to deprture for land tours and 180 days prior to departure for Alaska or Galapagos cruises).
I will send a check by the required date
I will use a credit card (a 5% additional fee will be applied to the balance due)
I will be purchasing travel insurance. We recommend purchasing travel insurance once you have registered. After submitting this form be sure to go to any of our web pages and click on the "Get Travel Insurance" button. Insurance is required for all boat-based trips.
I decline travel insurance (insurance is required for all boat-based trips - i.e. Galapagos, Antarctica, Alaska, Maine)
 (Required) I/we have read, understand and agree to the Release, Indemnity and Cancelation Policy
























































































































Wildside Nature Tours, has been designing and leading quality birding tours, photography workshops, nature photography tours and family adventures since 1993.
All content and images © 1993 - 2009 Wildside Nature Tours or used with permission as noted. Any use of our content or images requires proper permission and credit.
Wildside Nature Tours • 241 Emerald Drive • Yardley • PA • 19067 • Toll Free 888.875.9453 • Phone 610.564.0941 • Fax 847.556.0941