TAHITI CHARTER — Traveler’s Info

We are so excited you’ll be joining us on an adventure of a lifetime. Please take the time to fill out the form below so we can make your adventure perfect for you.

Also, please read our Terms & Conditions and our Cancellation & Booking Policies specific to your adventure.

The TSA Secure Flight Info is required, which includes emergency contact information (required prior to the release of any documentation).

GENERAL INFORMATION

Which charter or retreat and date are you booking?

Full Legal Name

First Name

Last Name

Email Address

Contact Phone Number

Please include area code (and country code if applicable)

MEDICAL INFORMATION

Do you have any medical conditions we need to be aware of?

If yes, please describe.

Do you have any allergies?

If yes, please describe.

FOOD PREFERENCES

Do you have any food/substance allergies? If yes, please list.

Are there any foods you dislike/do not eat? If yes, please list.

What do you eat? Are you an omnivore, vegetarian, vegan or other?

Do you enjoy spicy/hot foods?

Do you enjoy sushi, sashimi and raw fish dishes?

What is your breakfast drink of choice?

(Example: coffee, juice, black/green tea, etc.)

TSA SECURE FLIGHT INFO (REQUIRED)

USA Homeland Security and TSA require airlines to provide additional passenger documentation information in all air reservation records. Each person for whom we book air arrangements must comply with this regulation. Failure to provide TSA information on time may result in change fees, airline record cancellation or denial of boarding. If you wish to email or fax us a copy of the passport for each passenger, in lieu of using this form, please contact us. Emergency contact information is required.

Passenger Full Name (please enter all information exactly as shown on passport)

Passenger Date of Birth

MM/DD/YYYY

Passenger Gender

PASSPORT INFORMATION

US Citizens must travel with passport that is valid for at least 6 months beyond their return date. Non-US citizens please check with the corresponding consulates of each country for their specific visa requirements. If the information above does not match the passport, all fees incurred for any changes to the airline reservation record are the passengers’ responsibility. If this form is filled out by 3rd party (travel agent), agent agrees that all information provided is correct and accepts responsibility for all fees incurred for any changes to the airline reservation record due to incorrect information.

Passenger Passport Number / Expiration Date

Issued Date/Issuing Country

Passenger Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

EMERGENCY CONTACT

Emergency Contact Information (REQUIRED prior to release of documentation)

Please note in the event of emergencies, you authorize Te Mana Travels and its representatives to contact and share information with the below contact, including but not limited to your travel itinerary and medical conditions.

Name of Passenger's Emergency Contact / Relationship to Passenger

Emergency Contact Phone Number

Please include area code (and country if applicable)

Emergency Contact Email

CONFIRMATION & VERIFICATION

Signature of Person Filling out TSA Form (REQUIRED)

If the information above does not match the passport, all fees incurred for any changes to the airline reservation record are thepassengers’ responsibility. If this form is filled out by 3rd party (travel agent), agent agrees that all information provided is correct and accepts responsibility for all fees incurred for any changes to the airline reservation record due to incorrect information. Typing your name exactly as it appears below signifies you are completing this form using an electronic signature. By signing electronically, you are certifying that you have read and understand the TSA form and agree to sign electronically. You also agree to receive required disclosures or other communications related to this electronic transaction. TO CONTINUE WITH THE ELECTRONIC SIGNATURE PROCESS, PLEASE ENTER YOUR NAME AND CLICK THE "SIGN ELECTRONICALLY AND SUBMIT" BUTTON TO SAVE YOUR INFORMATION AND SUBMIT YOUR ELECTRONIC SIGNATURE.

I have read and agree with the:

Terms & Conditions

Cancellation & Booking Policies

Type Your Name

First Name

Last Name

Date Signed

YYYY