Pre Departure Client Information

In the event of an emergency while traveling, Swain Destinations requires that you complete the Pre Departure Traveler Information form below so that we may advise a preferred contact of your situation.

Visa requirements vary by country. Travelers are required to apply for visas independently. Detailed visa information and online visa applications can be found at www.visacentral.com/swain. For further guidance on the visa process, please consult your Swain Destinations Travel Consultant.

Please contact your Travel Consultant for an updated link to the Pre Departure Form.

Booking Information

Booking Reference Number

Departure Date

Your Information

First Name

Last Name

Address Prior to Departure

Address

City

State

ZIP

Home Address – If different to your address prior to departure.

Address

City

State

ZIP

Your Contact Details Whilst Traveling

Telephone Contact

Primary Email Address

Preferred Emergency Contact Whilst Traveling – Someone not traveling with you

I elect not to provide emergency contact details

Name

Relationship

Telephone

Passenger 1

Name

Dietary Requirements (Required)

Dietary Requirements (Please specify)

Mobility Issues (Required)

Mobility Issues (Please specify)

Special Requests (Required)

Special Requests (Please specify)

Date of Birth (MM/DD/YYYY)

Departure Date (MM/DD/YYYY)

By clicking the box below, you are acknowledging that an inherent risk of exposure to COVID-19 exists related to travel or travel related activities.
You voluntarily assume all risks related to exposure to COVID-19 and agree not to hold SWAIN Destinations ("SWAIN"), or any of their affiliates, directors,
officers, employees, agents, contractors, or volunteers liable for any illness, injury, damage or loss.

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Terms and Conditions

Printable Version

Liability Waiver

Printable Version

I have fully read, understand, and agree to the Terms and Conditions of this booking, outlined above.

Your Full Name

Date (MM/DD/YYYY)