Intake form

Name *

Email address *

What type of experience are you interested in?

Please select at least one option.

Morning Safari

Half-Day Safari

Full-Day Safari

What dates are you considering for your visit?

How many guests will be accompanying you?

Do you have any dietary restrictions or preferences?

What activities are you most interested in during your stay?

Please select at least one option.

Game Drives

Nature Walks

Bird Watching

Culinary Classes

Cultural Experiences

How did you hear about koki lodge?

Which service or services are you interested in?

Please select at least one option.

MORNING safari($125)-6AM-11AM

HALF-DAY SAFARI($200)-6AM-4PM

FULL DAY SAFARI($300)-6AM-8PM

Additional questions or comments

Koki Lodge