Forms Uganda Secure My Spot

Secure My Spot

Uganda: Gorillas, Community, & the Pearl of Africa

April 4-10, 2027 | 7 Days/6 Nights | Limited to 12 travelers

Fill out the form below to secure your spot. Once submitted, you’ll be directed to lock in your spot with a $600 non-refundable deposit that secures your gorilla trekking permit. The remaining balance will be due according to the payment schedule in our Booking Terms.

Traveler Identity (required for gorilla permit)

Full Legal Name (exactly as it appears on your passport)

Passport Number

Passport Issue Date

Passport Expiration Date (Note: UWA/Most airlines require at least 6 months' validity beyond the travel date)

Nationality (as listed on passport)

Date of Birth (minimum age for gorilla trekking is 15)

Email Address (required)

Phone Number / WhatsApp (required)

Room Preference

Single Double

If Double, do you have a specific roomate in mind?

Emergency Contact Name (Required)

Emergency Contact Relationship (Required)

Emergency Contact Phone Number (Required)

Medical conditions, mobility limitations, or fitness concerns we should be aware of (Required)

Dietary restrictions or allergies

Travel Insurance

I understand that travel insurance with medical evacuation coverage is required for this trip

Optional / Interest in extending the trip

How did you hear about this trip?

Anything else you'd like us to know?

Deposit Acknowledgement

I understand the $600 deposit is non-refundable and secures my gorilla trekking permit for April 2027.

Secure My Spot

Uganda: Gorillas, Community, & the Pearl of Africa

Traveler Identity (required for gorilla permit)

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