1-(800)-342-1796

Vaya Booking Form

INSTRUCTIONS: Thank you for confirming your trip with us. Every participant must submit a completed and digitally signed Booking Form to finalize the booking. We need this information as soon as possible in order to reconfirm your reservations. A parent or guardian must digitally sign the form for any travelers under 18 years of age. ("Digitally signing" simply means that you type in your name with the same effect as signing it.) You should have your passport information available when you sit down to fill out the form. All sections are required. If you have any questions about anything, please don't hesitate to ask.

Traveler Information

Trip ID*
First Name*
Last Name*
Street Address*
City*
State (or Province)*
Zip (or Postal Code)*
Country*
Email*
Cell phone*
How did you hear about us?*
If referred, please indicate by whom


Passport Information

PLEASE NOTE: Most countries require a passport to be valid 6 months past the travel dates. If you do not yet have a passport or if you are renewing your passport, please note this below and provide us with this information as soon as it is obtained.

Name*
Date of Birth (mm/dd/yyyy)*
Nationality (country of issue for passport)*
Check box if currently renewing passport
Passport Number*
Passport Issue Date (mm/dd/yyyy)*
Passport Expiration Date (mm/dd/yyyy)*


Accommodations

PLEASE NOTE: Rooming arrangements are subject to availability

Please indicate the names of any other travelers who will share a room with you:


I would like to have my own room:  

I prefer the following room type:*


If there is anything else we should know about your rooming preferences, please indicate it here:



Arrival Information

Please select from the following regarding your arrival and departure information:

I have made my own flight arrangements and have forwarded a copy of my itinerary to Vaya Adventures (best option is to forward the confirmation email you received from the carrier).

I have not yet booked my flight arrangements, but will send Vaya Adventures a copy of my itinerary once I have done so.

If you have not already done so, please forward your flight itinerary to info@vayaadventures.com


Other Information

Please use the space below to let us know about anything you may want us to be aware of:

Examples:

  • 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.)



Diet & Medical Information

Weight (lbs)*
Height (feet-inches)*

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):

Name*
Relationship*
Cell Phone or Main Phone*


Help Support Local Communities and the Natural Environment in the Region You Are Visiting

We are often asked by our travelers how they can effectively assist the local people and help protect the natural environment in the areas where we run our trips. We believe the most effective way to help is by giving money to well established organizations that run efficient, successful programs dedicated to these ends. The following organizations fit those criteria and we encourage you to support them. Vaya Adventures can facilitate your direct contribution to these organizations by adding your contribution to your invoice. Making a contribution is an effective way to support local communities and preserve the natural environment of these areas. Vaya matches traveler contributions to these organizations.

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.

Donation per traveler:*

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.

Donation per traveler:*


Payment Information

PLEASE NOTE: Final payment on most trips is due 90 days prior to departure (some Galapagos cruises and other trips have earlier payment dates). Balances are payable by check or wire transfer.

Please click to review the Terms & Conditions and Release of Liability*


By selecting "I agree" I acknowledge that I have read, understand and accept the Terms & Conditions and Release of Liability that accompany this Booking Form.

Name*
Date (mm/dd/yyyy)*

A parent or legal guardian must digitally sign the form and accept the Terms & Conditions and Release of Liability for any children under 18 years of age. "Digitally signing" simply means that you type in your name with the same effect as writing your signature.

PLEASE READ THIS NOTE BEFORE CLICKING SUBMIT: Once you click on the Submit button below, it may take a minute for the system to process your booking. Please do not close your browser, hit escape or attempt to re-submit the form until you see a "Thank You" page. Thank you for booking your trip with us!




Call us if you have any questions:

1-(800)-342-1796