Test Form Page

Number of Travelers
Please enter a number from 1 to 4.
This form can manage up to 4 travelers. For additional travelers, complete another form.
Deposit total ($500 per person)
TRAVELER #1 INFORMATION
Please provide complete information each traveler.
Name of Traveler*
First Last
Home Address*
Street Address City State ZIP Code
Mobile phone*
Primary Contact Email*
Enter Email Confirm Email
TRAVELER #2 INFORMATION
Name of Traveler #2*
First Last
Relationship of Traveler #1 to Traveler #2*
Home Address (if different)
Street Address City State ZIP Code
Mobile phone (if different from Traveler #1)
Email (if different from Traveler #1)
Enter Email Confirm Email
TRAVELER #3 INFORMATION
Name of Traveler #3*
First Last
Relationship to other travelers*
Home Address (if different)
Street Address City State ZIP Code
Mobile phone (if different from Traveler #1)
Email (if different from Traveler #1)
Enter Email Confirm Email
TRAVELER #4 INFORMATION
Name of Traveler #4*
First Last
Relationship to other travelers*
Home Address (if different)
Street Address City State ZIP Code
Mobile phone (if different from Traveler #1)
Email (if different from Traveler #1)
Enter Email Confirm Email

TRAVELER #1 PASSPORT INFO
You have two options for submitting the passport copy to us. You can mail to Water 1st along with the Water Tour Waiver. Or, if you prefer, there will also be an opportunity later in this application to upload scanned copies of these documents.
Traveler's Full Name (as it appears on passport)*
I am a US passport holder
- Yes
- No
For stays of up to 90 days, US passport holders do not need a visa for tourism. If you are not a US passport holder, we’ll look into your visa requirements.
Passport Number*
Expiration Date (mm/dd/yyyy)*
To enter Kenya, you need a U.S. passport with at least six months validity.
Date of birth (mm/dd/yyyy)*
TRAVELER #2 PASSPORT INFO
Traveler #2's Full Name (as it appears on passport)*
I am a US passport holder
- Yes
- No
For stays of up to 90 days, US passport holders do not need a visa for tourism. If you are not a US passport holder, we’ll look into your visa requirements.
Passport Number*
Expiration Date (mm/dd/yyyy)*
To enter Kenya, you need a U.S. passport with at least six months validity.
Date of birth (mm/dd/yyyy)*
TRAVELER #3 PASSPORT INFO
Traveler #3's Full Name (as it appears on passport)*
I am a US passport holder
- Yes
- No
For stays of up to 90 days, US passport holders do not need a visa for tourism. If you are not a US passport holder, we’ll look into your visa requirements.
Passport Number*
Expiration Date (mm/dd/yyyy)*
To enter Kenya, you need a U.S. passport with at least six months validity.
Date of birth (mm/dd/yyyy)*
TRAVELER #4 PASSPORT INFO
Traveler #4's Full Name (as it appears on passport)*
I am a US passport holder
- Yes
- No
For stays of up to 90 days, US passport holders do not need a visa for tourism. If you are not a US passport holder, we’ll look into your visa requirements.
Passport Number*
Expiration Date (mm/dd/yyyy)*
To enter Kenya, you need a U.S. passport with at least six months validity.
Date of birth (mm/dd/yyyy)*

TRAVELER #1 EMERGENCY CONTACT INFO
Primary Emergency Contact Name*
Relationship*
Mobile Phone*
Alternate Phone
Email*
Enter Email Confirm Email
Alternate Emergency Contact Name
Relationship
Mobile Phone
Alternate Phone
Email
Enter Email Confirm Email
TRAVELER #2 EMERGENCY CONTACT INFO
Primary Emergency Contact Name*
Relationship*
Mobile Phone*
Alternate Phone
Email*
Enter Email Confirm Email
Alternate Emergency Contact Name
Relationship
Mobile Phone
Alternate Phone
Email
Enter Email Confirm Email
TRAVELER #3 EMERGENCY CONTACT INFO
Primary Emergency Contact Name*
Relationship*
Mobile Phone*
Alternate Phone
Email*
Enter Email Confirm Email
Alternate Emergency Contact Name
Relationship
Mobile Phone
Alternate Phone
Email
Enter Email Confirm Email
TRAVELER #4 EMERGENCY CONTACT INFO
Primary Emergency Contact Name*
Relationship*
Mobile Phone*
Alternate Phone
Email*
Enter Email Confirm Email
Alternate Emergency Contact Name
Relationship
Mobile Phone
Alternate Phone
Email
Enter Email Confirm Email

TRAVELER #1 MEDICAL INFORMATION
Name of Primary Physician*
Office Phone*
Medical conditions, special instructions, other information
TRAVELER #2 MEDICAL INFORMATION
Name of Primary Physician*
Office Phone*
Medical conditions, special instructions, other information
TRAVELER #3 MEDICAL INFORMATION
Name of Primary Physician*
Office Phone*
Medical conditions, special instructions, other information
TRAVELER #4 MEDICAL INFORMATION
Name of Primary Physician*
Office Phone*
Medical conditions, special instructions, other information

LIABILITY WAIVER & COPY OF PASSPORT
Please click on the following link to download our waiver of liability. Each traveler must print and sign this form and return it to Water1st in order to participate in the Water Tour.

Water Tour Waiver of Liability (.pdf)

This form, along with a copy of each traveler’s passport photo page, can be uploaded to our secure server below or mailed in to the Water1st office.
mail or upload*
- I am mailing in my paperwork
- I am uploading my paperwork below
Upload signed waiver form(s) here:
Drop files here or
Max. file size: 256 MB.
Upload a photo/scan of the bio page of your passport(s)
Drop files here or
Max. file size: 256 MB.
Note:
Check to make sure any files you want to submit have uploaded completely before moving to the next page. You should see the name(s) of the file listed.

Water Tour – Kenya – 2025

Step 1 of 7

TRAVELER #1 INFORMATION

TRAVELER #2 INFORMATION

TRAVELER #3 INFORMATION

TRAVELER #4 INFORMATION

TRAVELER #1 TRAVEL EXPERIENCE

TRAVELER #2 TRAVEL EXPERIENCE

TRAVELER #3 TRAVEL EXPERIENCE

TRAVELER #4 TRAVEL EXPERIENCE

TRAVELER #1 PASSPORT INFO

TRAVELER #2 PASSPORT INFO

TRAVELER #3 PASSPORT INFO

TRAVELER #4 PASSPORT INFO

TRAVELER #1 EMERGENCY CONTACT INFO

TRAVELER #2 EMERGENCY CONTACT INFO

TRAVELER #3 EMERGENCY CONTACT INFO

TRAVELER #4 EMERGENCY CONTACT INFO

TRAVELER #1 MEDICAL INFORMATION

TRAVELER #2 MEDICAL INFORMATION

TRAVELER #3 MEDICAL INFORMATION

TRAVELER #4 MEDICAL INFORMATION

LIABILITY WAIVER & COPY OF PASSPORT

PAYMENT INFORMATION

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