Untamed Amazon — Pre-Trip Information Form

1. Reservation Details

Itinerary * Choose the itinerary of your expedition.

Boarding date *

Passenger full name * As shown on the ID document used for travel.

How would you like to be addressed on board?

Date of birth

Nationality

E-mail *

Phone / WhatsApp * Please include the country code.

2. Identification Document

Document you will use for boarding

Passport

Document number

Issuing country If applicable.

Passport expiry date Required only for foreign passengers.

Upload a copy of your passport PDF, JPG or PNG, up to 10 MB.

Will you need assistance with a visa, flight connection or arrival logistics?

Yes No

Notes about documentation or travel

3. Arrival, Hotel and Transfers

How will you arrive at the boarding city?

Plane Private car Private transfer I will already be staying in the city Other

Specify how you will arrive

Arrival date

Arrival time

Arrival airline and flight number If applicable.

Hotel before boarding Hotel name and city.

Would you like our team to arrange the transfer included in the itinerary?

Yes No Not decided yet

Estimated return flight date

Estimated return flight time

Return airline and flight number

Desired destination after disembarking

Airport Hotel Residence Other

Address or name of the destination after disembarking

4. On-Board Accommodation

Preferred bed configuration

One double bed Two single beds As booked Not applicable

Name of the person sharing your suite If applicable.

Is there anything important we should know about your accommodation?

5. Food and Hospitality Preferences

Do you have any food allergy or intolerance?

Yes No

Specify the food, reaction and level of sensitivity

Do you follow any dietary restriction or preference?

None Vegetarian Vegan Gluten-free Lactose-free Kosher Halal Other

Other — specify

Is there any cross-contamination restriction our kitchen should observe?

Yes No

Describe

Is there any food or drink you especially enjoy?

Are you celebrating a special occasion during the trip?

No Birthday Honeymoon Wedding anniversary Family trip Other

Specify the occasion

Would you like to tell us anything that would make your experience even more special?

6. Health, Mobility and Safety

This information is confidential and accessed only by the operational team responsible for your safety and well-being.

Do you have any medical condition, mobility limitation or assistance need our team should know to plan your experience safely?

Yes No

Describe only the information relevant to operations

Do you have allergies to medication, insect bites, food or other agents?

Yes No

Specify

Do you take continuous medication or carry emergency medication our team should know about?

Yes No

Provide the medication name, purpose and relevant instructions

Do you use mobility equipment or need support to walk, board/disembark or use stairs?

Yes No

Describe

Is there any condition that may require attention in hot, humid or remote areas?

Yes No

Describe

Do you have travel insurance with medical and evacuation coverage?

Yes No I will arrange it

Insurer and policy number Optional, but recommended.

7. Emergency Contact

Full name of the emergency contact

Relationship to the passenger

Phone / WhatsApp, with country code

E-mail

Does this contact speak English?

Yes No Other

Other language — specify

8. Activities and Comfort on the Water

How would you rate your familiarity with river and boat activities?

First experience Little experience Regular experience Very experienced

Can you swim?

Yes No Prefer not to answer

Is there any activity you would prefer to avoid?

Short hikes Boat rides Swimming Canoeing / stand-up paddle Community visits None Other

Other — specify

Do you need a special-size life jacket?

Yes No

Provide your height, weight and usual clothing size

9. Children and Teenagers

Required only for passengers under 18.

Name of the parent or legal guardian on board

Legal guardian phone

Authorization for emergency care I declare that, in case of emergency and if immediate contact is not possible, I authorize the Untamed Amazon team to seek medical care and take the necessary measures to protect the minor, with costs being the responsibility of the legal guardian. I have read and agree

Billing information (for invoice)

Used only to issue your invoice. Please enter your postal code without any mask.

Tax / fiscal document number

Street / address

Number

Complement

District / neighborhood

Postal code (ZIP / CEP)

City

State / province

Country

10. Privacy, Terms and Authorizations

Privacy and data use

Untamed Amazon will use your data to organize the booking, accommodation, transfers, meals, safety, emergency care and other activities necessary for the trip. Health, mobility and allergy data will be accessed only by professionals and teams who need this information for your safety and well-being. It will not be used for marketing purposes.

I declare that I have read and understood the Privacy Notice and authorize the processing of my data for the operational purposes described above. *

Terms and policies

I declare that I have read and accept the Terms, Responsibilities and Policies of Untamed Amazon. *

Image use — optional

I optionally authorize the use of photographs and videos in which I appear for institutional communication and promotional materials of Untamed Amazon.

Yes, I authorize I do not authorize

Passenger full name

Pre-Trip Information Form – Untamed Angling Brazil

1. Reservation Details

2. Identification Document

3. Arrival, Hotel and Transfers

4. On-Board Accommodation

5. Food and Hospitality Preferences

6. Health, Mobility and Safety

7. Emergency Contact

8. Activities and Comfort on the Water

9. Children and Teenagers

Billing information (for invoice)

10. Privacy, Terms and Authorizations

Privacy and data use

Terms and policies

Image use — optional