WildChina Journey Registration

Please complete the following information so we can make sure everything is as smooth as possible on your journey with WildChina.

All data is stored in line with our privacy policy.

Personal Information

First name*

Last name*

Email *

Company name

Phone number*

Date of birth

Year/Month/Day

Address

Street address*

City*

State/Region/Province*

Postal Code*

Country/Region*

Health Information

Medical Insurance

Please provide us with your medical / travel insurance, please let us know the insurance company and policy number here and 24hr contact information. If you do not already have a provider, WildChina's our go-to is Global Rescue. You can check out their services and offerings here.

Do you have any allergies?*

Yes

If yes, please list any allergies you have

Do you have any dietary restrictions or preferences?*

(Ex. Caffeine free, no alcohol, vegetarian, vegan, etc.)

Yes

If yes, please list all dietary restrictions you have.

Do you have any physical or medical conditions that we should know about?*

Yes

If yes, please let us know what physical or medical restrictions you have.

Passport Copy

Passport Copy*

Please upload a scanned copy of your passport details page

Visa

If required, please confirm that you possess a Chinese visa valid for travel in China with a validity date at least one month beyond your intended period of travel with WildChina.
Travelers will be responsible for trip cancelation or interruption caused by visa expiration.
You can check with our partners at CIBT on whether or not you'll need a visa for your China trip.

Yes, I have a valid visa for China or have confirmed that I do not need a visa for my trip.

If you don't currently have a valid visa (ex small group departure registrants using this form), please let your designated travel designer know that you still need to apply for a visa, and we will send you an invitation letter which you can then use to apply.

Emergency Contact Details

Full name*

Please, where possible make this contact of someone who is not on the trip.

Email*

Please, where possible make this contact of someone who is not on the trip.

Phone number*

Insurance

In the event of any need for your insurance, it makes it easier if we also have the details. Travel insurance covering medical evacuation and repatriation is highly recommended.

Insurance Company Name

Policy Number

Insurance Contact Number

Insurance Certificate

If you have already purchased your insurance, please attach a copy here.

Additional Information

Airline & Frequent Flyer Number

Favorite Foods/Drinks

Tell us your favorite foods & drinks so we can better customize meal and/or restaurant recommendations!

I have read and agree to the booking conditions.

Yes, I confirm and have read and understand the booking conditions.*