"*" indicates required fields Member's Contact DetailsMember's Name* First Last Member's Email* Member's Phone*Booking Contact DetailsPrimary person for booking correspondence, if different from the Member's details above:Name First Last Email PhoneBooking InformationNumber of Days12345678910Number of Adults12345678910Number of Youth012345678910Number of Child012345678910This field is hidden when viewing the formTotal for AdultsThis field is hidden when viewing the formTotal for YouthThis field is hidden when viewing the formTotal for ChildCheck In Date* DD slash MM slash YYYY Check Out Date* DD slash MM slash YYYY BOOKING TOTALGuests*Please complete all details for each guest you wish to book for. Hit the + icon to add information for every guest to be included in the booking request.Full nameGuest TypeAge at Time of StayBed ConfigurationFood Allergies (if applicable)Relationship to Member (if extended family or guest. E.g. son in law) MemberExtended familyAccompanied guestUnaccompanied guestAdult 19+Youth 15-18Child 3-14Infant 0-2KingSingleCot (infant only) Add RemoveAdditional InformationPlease add any comments or additional information relevant to the booking, such as if any guests require different check in/check out dates.Acceptance* I have read and agreed to the Boali Lodge booking terms and conditions CAPTCHA Δ
