Kimberley Camping – Book June 5, 2026 departure and save $300 per person

Amalia Gorge, El Questro Wilderness Park

Passenger Information Form (D)

Please let us know more about the people travelling with you.

Passenger Information Form D

Passenger Information Form – The Kimberley Tours

Main Contact Email Address*
Passenger 1 Name*
Prefix First Last
Date of Birth Passenger 1*

Day
Month
Year
Main Contact Phone Number*
Passenger 2 Name
Prefix First Last
Date of Birth Passenger 2

Day
Month
Year
Main Contact Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Name*
Prefix First Last
Emergency Contact Phone*
Emergency Contact Relationship*
Medical Conditions (Do you have any medical conditions or disabilities that could limit your mobility?)*
If not require please write NIL
Dietary Requirements (Do you have any special dietary requirements?)*
If not require please write NIL
Tour Name or Code
Departure Date

Day
Month
Year
Accommodation Details Prior to Tour
Accommodation Details After Tour
Travel Insurance Details (if applicable)
Any other information you would like to provide?
Confirmation of fitness level – Passenger 1*
Passenger 1 has a moderate to active level of fitness
The participant listed has a moderate to active level of fitness and all information provided is accurate at the time it was provided. Passenger 1 will update any relevant information at least 30 days prior to travel if required, if there are any changes.
Confirmation of fitness level – Passenger 2
Passenger 2 has a moderate to active level of fitness
The participant listed has a moderate to active level of fitness and all information provided is accurate at the time it was provided. Passenger 2 will update any relevant information at least 30 days prior to travel if required, if there are any changes.
Acceptance of the booking terms and conditions*
I have read, fully understand and accept the terms and conditions of booking
https://thekimberleystours.com.au/terms-conditions/
Acceptance of specific booking terms and conditions*
I have read, fully understand and accept the terms and conditions of booking
https://kimberleystours.com.au/wp-content/uploads/sites/6/2026/01/DTA-Booking-Conditions.pdf

Contact Information

Within Australia
1800 994 620

International
+61 7 4051 1120

National Office
5/21-25 Lake Street
Cairns, QLD, 4870

Office Hours
9:00 AM to 5:00 PM
Monday to Saturday

Book Online
24 hours a day
7 days a week

Please do not book flights or accommodation until your booking is confirmed.

Passenger Information Form (D)

Please let us know more about the people travelling with you.

Passenger Information Form D

Contact Information

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