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Cape Verde Tour
November 2
–
November 7
To make a payment for Application, please click
here
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Name
*
First
Last
Preferred Name / Nickname
*
that Preferred as
Phone
Email
*
Home Address
*
Room Allocation
*
— Select Choice —
Single Occupancy
Double Occupancy
Twin Sharing
Marital Status
Single
Married
Choice 3
Date of Birth (MM/DD/YYYY)
Application Fee ($100) status:
*
Paid
Not Paid
If you are yet to pay for the $100 non-refundable application fee, kindly do so before end of July. Use this link for payment,
To make a payment for your Application, please click here
Sex
*
— Select Choice —
Male
Female
Prefer not to say
Nationality
*
Passport Number
*
Passport Expiry Date
Emergency Contact information
Emergency Contact Name
*
Relationship to Participant
*
Emergency Contact Number
*
Emergency Contact Address
*
Country of Departure
*
Preferred Roommate (If Applicable)
Medical Information
*
Travel History
Travel Insurance Declaration
Yes, I confirm that I will obtain valid travel insurance before departure.
I understand that all participants are required to obtain and maintain valid travel insurances covering the full duration of the trip, including medical emergencies, hospitalization, evacuation, trip cancellation, and personal liability where applicable.
I understand that participation in this trip is voluntary and that Vacances Du Perez serves solely as a trip organizer and facilitator.
*
I am responsible for my own safety, health, conduct, personal belongings, travel documents, and compliance with local laws and regulations.
Second I am responsible for ensuring that I am physically fit and medically able to participate in planned activities.
I understand that travel, transportation, water activities, excursions, and outdoor activities carry inherent risks.
Vacances Du Perez, its organizers, representatives, volunteers, partners, and affiliates shall not be liable for any injury, illness, allergic reaction, accident, theft, loss of property, travel disruption, missed flights, delays, cancellation of services, acts of third parties, natural disasters, political events, or any other unforeseen circumstances.
I acknowledge that food served during the trip may contain ingredients that could trigger allergies or dietary sensitivities. While reasonable efforts may be made to accommodate dietary requests, Vacances Du Perez cannot guarantee an allergen-free environment and assumes no liability for allergic reactions or food-related incidents.
I understand that I participate in all activities at my own risk.
Vacances Du Perez reserves the right to decline or remove any participant whose behavior is unsafe, disruptive, abusive, unlawful, or negatively impacts the experience of other participants.
Please tell us a little about yourself, your interests, hobbies, travel experience, and anything you would like fellow participants and organizers to know about you.
*
Declaration
*
I understand that my passport must remain valid for at least six (6) months beyond my planned return date from Cape Verde.
Signature (FullName)
*
I certify that the information provided in this registration form is accurate and complete to the best of my knowledge.
Submit
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Details
Start:
November 2
End:
November 7
Venue
Cape Verde – unforgettable Experience
Cape Verde
Organizer
Vacances Du Perez
Phone
+234 706 216 8588
Email
capetour@vacanesduperez.org
