Please indicate the names of any other travelers who will share a room with you:
I prefer the following room type:*
If there is anything else we should know about your rooming preferences, please indicate it here:
Please use the space below to let us know about anything you may want us to be aware of:
If there are any special events you will be celebrating (birthdays, anniversaries, etc.), special needs or requests you may have.
What your very top priorities for this trip are (whether it’s seeing a specific place, doing a certain activity, having a certain experience, seeing a specific wild animal, enjoying a certain type of cuisine, etc.).
If you have any other special interests (examples could include things like architecture, wildlife, walking, food, wine, contemporary art, crafts, etc.) that you would like us to take into account in finalizing your trip details and excursions.
If you have an interest in attending any live events (opera, live music, theater, soccer game, polo match, etc.)
Do you have any dietary restrictions or requirements? If so, please list:
Do you have any current medical conditions, infirmities, physical limitations or disabilities that we should be aware of? If so, please list:
Please list the names of any medications you are currently taking that we should be made aware of:
In case of emergency, please contact (the emergency contact must be someone not traveling with you):
GTCF (Galapagos Travelers Conservation Fund) - Recommended especially for Galapagos travelers, funds targeted grants to the Charles Darwin Foundation and other worthy environmental organizations working to protect the fragile environment of the islands. We will match all donations to this organization up to an annual total of $5,000; all contributions are tax deductible.
Promujer - Recommended for all travelers, highly respected organization providing microcredit to women to help them improve their lives; operations in several Latin American countries, including Peru, Argentina and Bolivia. We will match all donations to this organization up to an annual total of $5,000; all contributions are tax deductible.
Please click to review the Terms & Conditions and Release of Liability*
Call us if you have any questions: