Rewild Registration Form

Safari : Best of Madagascar
Seneca Park Zoo Society
Start Date: 10/24/2026

Please complete this form in full. All fields are required unless otherwise noted.

If you are the responsible payor, please submit your deposit via the checkout process using a credit card. If you indicate that you are paying on behalf of others, each traveler must still complete and submit this form individually.

Your safari is not confirmed until we have received a deposit payment and you have received a Welcome Letter. If you are the responsible payor and your deposit is not submitted, an invoice will be issued with your Welcome Letter within 1–2 business days of receiving your registration.

If you do not receive an email confirmation of this registration within 24 hours, please contact us at support@rewildsafaris.com or by calling 800-779-2146.

Traveler
Please enter your name EXACTLY as it appears on your Passport
Please enter your height and weight below. This is required for in-country transportation logisitics.
Please choose a unit of measurement:
lb
feet
inches
Accommodation
A double type is for 2 people sharing a room with one bed. A twin type is for 2 people sharing a room with two separate beds.
Special Occasions & Interests
Emergency Contact
Choose someone NOT traveling on your safari
Your Notes
Allow Rewild Safaris to contact you via SMS/Text messaging with information:
Passport
Make sure your passport is signed, has at least two free consecutive pages and is valid 6 months after your scheduled departure from the last country of your itinerary. If it isn't, you'll need to renew your passport as soon as possible and note that below.
Billing

Will you be responsible for paying for your safari?