Galapagos Participant Information Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastHometown *Home State *Birthdate *Passport Number *Passport Expiration Date *Dietary Restrictions (Put N/A if none) *Arrival Airline and Flight # into Guayaquil *Arrival Date and Time into Guayaquil *I understand if arriving BEFORE April 6th that extra room nights in Guayaquil are $135/night *Yes. I'll get in touch with Don to pay for these.Yes and I've paid for the nights I need.I'd like to sign up for the Optional Day Tour on April 6th for $85/person *Yes. I'll get in touch with Don to pay for this.Yes and I've already paid for this.NoSubmit
