Toogee
Treks 9 Day / 8 Night Adventure Trek - Booking Form 2009
To secure your booking with Toogee Treks please read the Trekkers Agreement
below, print and complete this form and return it along with your $500
deposit if you agree with the conditions.
The balance of your payment is payable 60 days prior to the departure
date of your trek.
If you are organising a group please ensure ALL group members complete
individual booking forms.
Trekkers Agreement
1. I acknowledge that Toogee Treks is the organiser of the "Kokoda
Trek" across the Kokoda Trail, in Papua New Guinea.
2. I agree to participate in this trek subject to the terms and conditions
contained in this Agreement.
3. I acknowledge the trek is a "recreational activity" (as
defined in the NSW Civil Liability Act and the Trade Practices Act)
which involves significant risk of physical harm.
4. I agree to release and indemnify Toogee Treks in the manner set out
in this agreement.
5. I acknowledge that I have received appropriate warnings as to the
risks associated with the Kokoda Trail including (without limitation)
from Toogee Treks:
(a) . The hazardous nature of the terrain and waterways;
(b) . The physically arduous nature of the Trek;
(c) . Criminal or malicious acts of people who may be encountered on
the Trek;
(d). Becoming lost or disoriented:
(e). Injury or illness caused by plant or animal life;
(f) . Injury or illness as a result of exposure to the elements;
(g). Illness as a result of the consumption of food or drink in the
course of the Trek;
(h) . Illness as a result of contracting disease including (without
limitation) cholera, malaria, typhoid, tetanus
and hepatitis.
6. I acknowledge the significant risks inherent in participation in
the Trek and agree that:
(a). In order to safely complete the Trek I will require a high level
of physical and medical fitness and
exceptional endurance ability;
(b). I will need to take appropriate medical precautions and advice
before during and after the Trek to avoid
illness or disease;
(c). I have been advised to consult a medical practitioner prior to
commencement of the Trek;
(d). I agree to take my own safety precautions and first aid equipment
and all such items as specified by
Toogee Treks;
(e). I am medically fit to participate in the Trek and have obtained
certification of medical fitness from a
qualified medical practitioner.
(f). I acknowledge that I have to effect appropriate travel and health
insurance cover as a condition of
participating in the trek.
7. I agree:
(a). To assume full responsibility for all risks associated with participation
in the Trek;
(b). That Toogee Treks is not responsible for my safety;
(c). That I will act in accordance with all reasonable instructions
given by Toogee Treks and/or its trek guides
in and about the Trek.
8. I hereby release and indemnify Toogee Treks from and against all
actions, proceedings, claims, damages, liabilities, suits, demands,
losses, costs, fees and expenses whatsoever incurred or arising out
of my/our participation in the Trek, notwithstanding any negligence
on the part of Toogee Treks, its employees, agents or contractors.
9. I acknowledge that the deposit I pay for my trek is non-refundable.
I acknowledge that I have been advised to take out a personal travel
insurance policy to protect me against any medical or compassionate
reason which might prevent me from participating in the trek.
10. I acknowledge that I have been advised to engage a Personal Carrier
if I am not in peak condition. I acknowledge and agree that I will pay
the full fee for a Personal Carrier plus a surcharge of $150 if I have
to engage a Personal Carrier during the trek.
11. In the event of engaging a Personal Carrier I agree to keep the
weight of my camping gear, first aid items, trek snacks, clothing and
toiletries to a maximum of 12 kg.
12. I acknowledge that in the event of my withdrawal from the trek for
any reason whatsoever I will be responsible to meet all of my transport,
food, medical and accommodation expenses in Port Moresby. I acknowledge
that it is my responsibility to lodge a claim for these expenses against
my travel insurance policy.
13. I acknowledge that Toogee Treks is not liable for any personal,
medical, transport, food or accommodation expenses if I have to withdraw
from the trek for any reason.
14. I agree that the interpretation of this Agreement will be governed
by the law in the State of New South Wales and submit to the jurisdiction
of the Courts in the State of New South Wales in respect of all matters
arising hereunder.
I have read and accept the Trekkers Agreement
(sign here)>>> ……………………………………………………………....
Dated the ……….. day of ………… the year 200.....
Passport Details
Full Name (as it appears on your passport):................................................................................
Passport No: ………..……….... Expiry Date: …………....... Place of issue: …………………….
Trek Details
Trek Date.............../................./ 2009......(please refer
to Trek Dates page for available dates)
Trek Cost options ........(circle one)
Self Guided -$2795 pp ex Port Moresby................$3385 pp ex Port
Moresby (personal porter)
Guided....... -$3395 pp ex Port Moresby................$3985 pp ex Port
Moresby (personal porter)
Self Guided -$3695 pp ex Cairns............................$4285 pp
ex Cairns (personal porter)
Guided....... -$4295 pp ex Cairns............................$4885 pp
ex Cairns (personal porter)
Self Guided -$4095 pp ex Brisbane........................$4685 pp ex
Brisbane (personal porter)
Guided....... -$4695 pp ex Brisbane........................$5285 pp
ex Brisbane (personal porter)
Self Guided -$4295 pp ex Sydney...........................$4885 pp ex
Sydney (personal porter)
Guided....... -$4895 pp ex Sydney...........................$5485 pp
ex Sydney (personal porter)
Total Cost (please confirm your option cost here) $....................................
Payment Options
Credit Card
I authorise Toogee Treks to debit my credit card for the amount of $....................................
as part payment / payment for the above selected trek.
Card Type:...........VISA.................BANKCARD............MASTERCARD............AMEX......(circle
one)
Expiry Date:__ __ / __ __
Card Number: __ __ __ __ _ __ __ __ __ _ __ __ __ __ _ __ __ __ __
Cardholders Name.................................................................................................................
Cardholders Signature..........................................................................................................
NOTE: A charge of 2 per cent applies on all card transactions.
Your credit card statement will show payment to RAYMOND TERRACE
CINEMAS.
Direct Deposit
Please make payment to: Toogee Treks
Greater Building Society
BSB: 637-000
Account Number: 713540099
(please include name and trek date in reference eg. jsmith120406)
Cheques
Please make payable to TOOGGEE TREKS
Send to PO Box 383 Raymond Terrace 2324 NSW
Your details
Prefered First Name or Nickname.............................................................................
Last Name....................................................................................................................
Phone: Prefered Contact number..............................................................................
............ Work Ph: ………………………..…. Home Ph: ………………………….
Mobile Ph: ………………………..... Fax: ……………………......……….
Email: ……………………………………………………….……………............…..
Address:………………………………………………………………………………
Suburb:……………………………………….State...........................…………….…
Post Code: ………………….
DOB (dd/mm/yyyy)................................................. Age..............................................
Height..........................................Weight............................................................
Shirt Size.............................Group name (if part of a group)....................................
Emergency Contact
First Name: ……………………....…. Surname: …………………......……….. …
Prefered Contact number:...........................................................................................
Home Ph:……….……….................… Mobile Ph : ………………..............….....…
Email: ……………………………………………………….................................…..
First Aid / Medical Qualifications
Do you have any First Aid or medical Qualifications......Yes......No....(circle
one)
Type of Qualification...............................................................................
Current Health Status
...Below Average.......Average.......Above Average.......Excellent....(circle
one)
Medical Self Evaluation
Do you suffer from any condition that requires the regular care of a
Medical Doctor?
.....Yes..........No..........Comment:..............................................................
Do you have any allergies to food, bites, stings or drugs?
.....Yes..........No..........Comment:..............................................................
Are you allergic to penicillin?
.....Yes..........No..........Comment:..............................................................
Have you been hospitalised or had surgery in the last 5 years?
.....Yes..........No..........Comment:..............................................................
Do you have any heart problems such as mycardial infraction or arrhythmia?
.....Yes..........No..........Comment:..............................................................
Have you ever suffered a heart attack or stroke?
.....Yes..........No..........Comment:..............................................................
Do you have high or low blood pressure?
.....Yes..........No..........Comment:..............................................................
Do you suffer from asthma or have any other respiratory problems?
.....Yes..........No..........Comment:..............................................................
Are you diabetic?
.....Yes..........No..........Comment:..............................................................
Do you suffer from epilepsy or seizures of any kind?
.....Yes..........No..........Comment:..............................................................
Do you have any physical or mental limitations that might preclude you
from the trek?
.....Yes..........No..........Comment:..............................................................
Are you on any medication (prescription, psychiatric or over the counter
drugs) for any condition?
.....Yes..........No..........Comment:..............................................................
Do you feel you will be physically prepared for the trek by the date
of departure?
.....Yes..........No..........Comment:..............................................................
Special comments....................................................................................
............................................................................................................
............................................................................................................
Terms and Conditions
Guided 9 Day / 8 Night Adventure Trek Inclusions:
* Australian Trek Leader
* Experienced PNG Koiari Trek Leader
* Return international airfare (if booked ex-Cairns, Brisbane or Sydney)
* Airfare - Port Moresby / Kokoda or Kokoda / Port Moresby
* Airport / accommodation transfers whilst in Port Moresby
* 2 nights Hotel accommodation in Port Moresby on a twin-share basis
* Hotel breakfast and dinner in Port Moresby on first and last day
* 20 kg baggage allowance on international flight
* Tour of Port Moresby
* Group Carriers
* Kokoda Track Authority Trek Fee
* Village campsite / guesthouse fees
* War relic site fees (village museums not included)
* All meals during the trek
* Prepaid departure taxes from Australia
* Personal backpack
* Personal daypack
* Individual mosquito proof 2 man tent
* A copy of Bill James' book 'Field Guide to the Kokoda Track (sent
to you on payment of your deosit)
* Personal Accident Insurance
* Public Liability Insurance protection (A$10 million)
Self-Guided 9 Day / 8 Night Adventure Trek Inclusions:
* Experienced PNG Koiari Trek Leader
* Return international airfare (if booked ex-Cairns, Brisbane or Sydney)
* Airfare - Port Moresby / Kokoda or Kokoda / Port Moresby
* Airport / accommodation transfers whilst in Port Moresby
* 2 nights Hotel accommodation in Port Moresby on a twin-share basis
* Hotel breakfast and dinner in Port Moresby on first and last day
* 20 kg baggage allowance on international flight
* Tour of Port Moresby
* Group Carriers
* Kokoda Track Authority Trek Fee
* Village campsite / guesthouse fees
* War relic site fees (village museums not included)
* All meals during the trek
* Prepaid departure taxes from Australia
* Personal backpack
* Personal daypack
* Individual mosquito proof 2 man tent
* A copy of Bill James' book 'Field Guide to the Kokoda Track (sent
to you on payment of your deosit)
* Polo - shirt with Toogee Treks Kokoda Logo
* Toogee Treks Polo Shirt and Certificate
* Personal Accident Insurance
* Public Liability Insurance protection (A$10 million)
Mandatory items not included in the trek price:
* Passport
* Visa for entry to PNG
* Medical certificate (see note below)
* Anti-malarial medication/inoculations as recommended
* Personal first-aid items as recommended
* Personal expenses in Port Moresby - telephone calls, alcoholic drinks,
room service, laundry, etc
* Excess baggage (over the 20 kg allowance on international flight)
* Personal Carrier (additional $510)
Payment Schedule
A deposit of $500 per person is payable on confirmation of booking.
The deposit is non-refundable.
Balance of payment due is payable 60 days prior to departure.
Cancellation Notice and Charges
Cancellation of confirmed bookings is to be in writing. The following
penalties will apply:
* 60-30 days prior to departure: Loss of deposit plus 50% of trek payment.
* Less than 30 days: Loss of 100% of trek payment
Travel Insurance
(click here for Insurance brochure)
Travel insurance is mandatory for all trekkers
- for your convenience the cost is include in your package.
Your Travel Insurance application
(included at the bottom of this document) must be returned with
this booking form and your deposit to protect you against unforeseen
circumstances such a personal injury during training or because you
might have a compassionate reason that could prevent you from joining
the trek you have booked on.
Your travel insurance policy include provision for
* emergency evacuation from anywhere along the track by helicopter,
aircraft, or porters to Port Moresby;
* medical treatment in Port Moresby and/or Australia as appropriate;
* payment of hospital bills and repatriation back to Australia if necessary;
* travel delays; lost/delayed luggage; lost/stolen money;
* death and disability cover.
Credit Card Charge
A charge of 2 per cent applies on all card transactions. Your credit
card statement will show payment to RAYMOND TERRACE CINEMAS.
Passport
You will require a Passport valid for at least six months for entry
to PNG.
Price Variation
The trek price may change at any time due to international currency
fluctuations, Australian/PNG airport tax departure variations, airline
fuel surcharges, and other charges.
These variations would not normally be charged to you after your full
payment has been received. However if the variations are substantial
you will have the option of canceling your trip and receiving a full
refund or upgrading to a later trek.
Tour Variation
PNG has been referred to as 'the land of the unexpected'. It is a developing
nation and as such we cannot accept responsibility for accident, loss,
injury, disappointment, delay in irregularity in flight accommodation,
transportation and other services provided on your trip.
Application for any refunds due to any of these unforeseen circumstances
must be made in writing. Any claim must be limited to the cost of the
service. Toogee Treks does not accept liability for any additional costs
for airline or transportation delays. In the event of any legal action
against Toogee Treks the client/travel agent agrees where and/or accepting
travel documents that such action will take place under the terms of
the laws of the independent nation of Papua New Guinea.
Trek Itinerary Variations
Toogee Treks reserves the right to make any variations to the trek itinerary
in the event of unforeseen circumstances.
On self-guided treks with Toogee Treks the Chief Guide has the discretion
to make any variations to the trek itinerary in the event of unforeseen
circumstances.
Trekkers on self-guided treks with Toogee treks are not permitted to
vary the itinerary without the approval of the Chief Guide.
Travel Documents
Trekkers require a current passport valid for six months at the time
of travel.
Trekkers require a visa for entry into PNG. These can be obtained on
arrival in Port Moresby. A fee of (PNGK100 (approximately A$50) is payable.
Trekkers may obtain a visa in advance of their trek from the PNG High
Commission in Canberra or the PNG Consulate in Brisbane.
Personal Carrier
If you are not in peak physical condition you are strongly advised to
engage a Personal Carrier prior to your departure for the PNG.
If you have to engage a Personal Carrier during your trek, providing
one is available, you will be required to pay the full fee plus a $150
surcharge.
Withdrawal from the Trek
If you have to withdraw from the trek for medical or any other reason
you will be required to return to Australia on the first available international
flight.
You will also be required to meet any personal accommodation, transport
and medical expenses incurred whilst in Port Moresby and claim these
against your personal travel insurance policy.
Toogee Treks will not accept liability for any such expenses.
Personal Health Requirements
The Kokoda Trail crosses the rugged and remote Owen Stanley ranges in
Papua New Guinea. The trek across the trail is a physically arduous
challenge in a hot, humid and wet tropical environment. You therefore
need to have a high standard of physical fitness and be free of physical
ailments and handicaps.
Medical Certificate
You will be required to have a Medical Doctor certify that you are in
good health and physically capable of completing the trek. If you are
over the age of 40 and are identified with at least one cardiac risk
factor you will be required to undertake either an exercise stress test,
a myocardial perfusion scan or have a stress echo as recommended by
your medical doctor before you can obtain a medical clearance.
This certification must be forwarded to Toogee Treks at least 60 days
prior to the commencement of your trek.
I have read and agree to the Terms and Conditions
.......Yes.........No.......(circle one)
Insurance Application Form
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