Phone +61 1300 388 419
Email info@adventurouswomen.com.au

Register for Tasmania - East Coast Adventure TAS

Tour Details

What: Tasmania - East Coast Adventure

When: Mon 17th March 2025 - Sun 23rd March 2025

Where: TAS

Cost: $4490.00 per person

Member Cost: $4390.00 per person

Deposit Required: $500.00

If you aren't a club member but would like to to take advantage of the member discount please join prior to completing your booking

Pay your deposit now by credit card and your place on the tour is secured immediately. Alternatively, we will send a tour confirmation email with a payment link to complete the credit card payment. We also accept direct bank transfers and the details of our account will be listed on the confirmation email.

Fields marked with a are required

Your Details

Given Names:

Please don't use all capitals for your name as it will be seen as spam

Surname:

Please don't use all capitals for your name as it will be seen as spam

Date of Birth:

Contact No.:

In case we need to get in touch urgently

Email:

Retype Email:

State:

Dietary

Do you have any food intolerances or dietary requirements?

No Yes

If yes, please give details below eg. Gluten free, vegetarian, vegan etc.

Medical

Have you been in hospital or suffered any significant illness or incapacity during the past 5 years?

No Yes

If yes, please give details below including date, condition, etc..

Do you suffer from any disability/illness or medical conditions such as asthma, diabetes, hearing impairement etc.?

No Yes

If yes, please give details below

Nature of the Condition	Treatment Protocol	Triggers	Notes
				X

Add Another Please note: If you have asthma we advise you have your GP write up an Asthma Management Plan

Are you currently taking any prescribed medications?

No Yes

If yes, please give details below

Medication	Dosage	Frequency
			X

Add Another Please note: If you have asthma we advise you have your GP write up an Asthma Management Plan

We strongly suggest all participants have current tetanus protection. Please check with your GP if unsure

Allergies

Do you have any allergies or reactions to stings, bites, food, animals etc.. ?

No Yes

If yes, please give details below

Allergy	Treatment	Severity
			X

Add Another Row

Emergency Contact - Only 1 required

Name:

Contact No.:

Relationship:

Name:

Contact No.:

Relationship:

Additional Information or Requests

Please note any additional information or requests:

Travel Insurance

Do you have Travel Insurance?

No Yes

Please note travel insurance is required in order to travel Existing travel insurance details:

Accommodation

Accommodation Preference:

Please note your Accommodation choice if applicable:

Terms & Conditions

Notice of cancellation must be in writing, with an email as an acceptable form of communication, directly to Adventurous Women with the following conditions:
- Cancellation more than 75 days prior to departure - Loss of Deposit
- Between74 and 61 days - Loss of 75% of tour cost
- 60 days or less - Loss of 100% of the tour cost
No refund is available after departure of a tour has commenced.

Please ensure you have read and understand our complete terms & conditions

Please ensure you check this box & wait for the tick to appear before submitting

We will soon being adding client accounts to enable you to save your details with any sensitive detail such as medical history heavily encrypted before being stored for extra security. Stay tuned!