Trip Reservation Form

Travelers residing at different addresses should complete separate forms.

We respect your privacy. All information will be used solely by Southwind Adventures (SWA) and will not be rented or sold to any individual or company. Fields marked with a star (*) are required.

Trip Information

* Trip Name:

Trip Dates:

Traveler 1 Information

*Traveler's Name (exactly as it appears on passport):

Age:

Gender:


Height:

Citizenship:


Weight:


Date of Birth:


*Passport Number (please indicate if you are renewing and/or will provide later):

Expiration Date:


Traveler 2 Information

Traveler's Name (exactly as it appears on passport):

Age:

Gender:


Height:

Citizenship:


Weight:


Date of Birth:


Passport Number (please indicate if you are renewing and/or will provide later):

Expiration Date:


Traveler 3 Information

Traveler's Name (exactly as it appears on passport):

Age:

Gender:


Height:

Citizenship:


Weight:


Date of Birth:


Passport Number (please indicate if you are renewing and/or will provide later):

Expiration Date:


Family Travel

To be completed if you are signing up as a family with children living in the same household.

Name of first child (as it appears on passport):

Date of Birth:

Gender:


Height:

Citizenship:


Passport Number:

Expiration Date:



Name of second child (as it appears on passport):

Date of Birth:

Gender:


Height:

Citizenship:


Passport Number:

Expiration Date:



Name of third child (as it appears on passport):

Date of Birth:

Gender:


Height:

Citizenship:


Passport Number:

Expiration Date:







Contact Information

* Address

* City

* State

* Zip Code (or postal code, if outside the USA)

Country (if outside the USA):

* Email:

Additional Email:

* Cell Phone:

Day Phone:

In case of Emergency:

Contact Name:

Relationship:

Phone:

Alternate Phone:


Accommodations

Please specify if you prefer king/queen or twin beds:

 I prefer single accommodations whenever possible and understand that there is an additional charge.

Note: Families requiring several rooms can discuss configuration options with their Travel Consultant.


Air Transportation

Southwind trips DO NOT INCLUDE INTERNATIONAL OR IN-COUNTRY FLIGHTS (unless indicated otherwise in the Published Trip Itinerary or Custom Trip Proposal). Upon receipt of your deposit, SWA will provide recommended arrival/departure dates and times as well as options for booking your flights through our affiliated ticketing office.


Deposit and Payment Information

Customized adventures generally require a $1,500-$5,000 per person deposit to make a reservation according to trip length, destination and hotels.

Your Travel Consultant will provide a payment link to pay by any major credit card.


Additional Information

How did you hear about Southwind Adventures? Please be specific:

Comments/Special Interests/Celebrations/Expectations:

Please answer for all in your party mentioning which aspects apply to each traveler.

Any food preferences/restrictions?

Any allergies to food, medicine or insects?

Any recent medical condition/injury/medication that our local staff should be aware of?


ASSUMPTION OF RISKS AND RELEASE OF LIABILITY

Submitting your Reservation Form represents an understanding of and acceptance of SWA’s Terms & Conditions, in the below Release of Liability, and those described on each detailed itinerary. They define SOUTHWIND’S RESPONSIBILITY with respect to all of our programs. PLEASE READ THEM CAREFULLY.

ASSUMPTION OF RISKS

I HEREBY ACKNOWLEDGE that I have voluntarily applied to participate on the tour as designated in this form and that I have read the description of the trip as it appears on this website and trip profile. I am aware that travel to the foreign countries and/or remote areas visited by this trip involves risks and dangers including, but not limited to: the forces of nature; roads, trails, hotels, vehicles, boats or other means of conveyance which are not operated nor maintained to standards common in the United States; civil unrest; terrorism; the hazards of traveling through mountainous terrain, at high altitudes, or to undeveloped areas; travel by canoe, boat, bicycle, train, plane, automobile, horseback, or by other means of conveyance, or by foot; accident or illness without access to means of rapid evacuation or availability of medical supplies; the adequacy of medical attention if provided; physical exertion to which I am unaccustomed or for which I am not prepared; consumption of alcoholic beverages; or additional factors known or unknown.
I verify this statement by placing my initials here:

Release of Liability

I am voluntarily participating in these activities with knowledge of the dangers involved and hereby agree to be responsible for my own welfare and assume any and all risks of delay, unanticipated events, illness, injury, emotional trauma, or death. As lawful consideration for being permitted to participate on such trip(s), I hereby release and discharge Southwind Adventures, Inc. and its employees or associates from all actions, claims, or demands for damages resulting from my participation in the trip (s).

I verify this statement by placing my initials here:

I agree that the foregoing obligation shall be binding upon me personally, as well as upon all members of my family including any minors under the age of 21 accompanying me, my heirs, executors, administrators, assigns, and legal representatives; it being my intention to fully assume all the risk of travel and to release and discharge Southwind Adventures, Inc. (SWA) from liability to the maximum extent of the law. I understand that all reservations are subject to acceptance by SWA and upon acceptance shall be deemed to have been entered into and to be performed in USA. In the unlikely event a legal dispute should arise involving any subject matter whatsoever, I agree that the following conditions will apply: a) the dispute shall be settled by binding virtual arbitration through the American Arbitration Association; b) the dispute will be governed by Colorado law; and c) the maximum amount of recovery to which I will be entitled under any and all circumstances will be the land cost of my trip with SWA.

I acknowledge that submitting this form represents an acceptance of these conditions, those in SWA's Terms & Conditions and those described on the trip itinerary. I have noted SWA's cancellation & refund policies and agree to all stated conditions set forth there within. I am aware that this is a release of liability and a contract between myself and Southwind Adventures, Inc. and sign it of my own free will. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

I have carefully read and accepted the terms presented in this Waiver. By checking this box, I am signing voluntarily. if applicable, as a parent or legal guardian I also sign for participants under the age of 18 included on this form.

Full name:

Today's Date:

Upon submitting this form, please wait until you get a “sent successfully” message. You will receive an automated email containing a copy for your records.


Thank you for your reservation!