Rustik Travel

Registration Form

 

I am registering with Rustik Travel after reading, understanding and agreeing to the Terms and Conditions before proceeding to book and travel with Rustik Travel.

* Indicates required fields
Experience/Trip:*
Start Date:*
End Date:*
Name:*
Company:
Age:*
Gender:*
In case you are booking on behalf of all in your group, then please mention the Name, Age and Gender of all the members, else type Not Applicable.*
In case, the participant is a minor (below 18 years old), the parent or the guardian should register on behalf of the minor.
Guardian's Name:
Relationship with the minor:
Address:*
Mobile:*
E-mail:*
Medical history & condition (Please specify any ailments/illness/injuries, any allergies that you have and medication that you are taking. Please mention for each person in the group, if you are booking on behalf of the group.):*
Emergency Contact Details:
Person's Name:*
Mobile No.:*
Relationship:
Meal Preference (Veg, Non-Veg, Vegan, Eggs, Non-Gluten, Keto etc.). Please write for everyone in the group if you registering for them.*
T-Shirt Size (Optional. Rustik Travel tees available at an additional cost for non-trekkers):
Mention the person's Name and T-Shirt Size, if you are booking on behalf of the group and want to order the T-Shirt.
I have read and understood the Terms and Conditions.
I agree with the terms and conditions as given in https://www.rustiktravel.com/terms-and-conditions/.*
Word Verification: