Motu Kaikoura Booking Form

Please use this form to give advance notification of your visit to
Kaikoura Island, regardless of where on the island you intend to stay.
This will ensure the island's caretaker is aware of your presense and
can provide advice or assistance in the event of an emergency.

There is some shared accommodation available in the bunk room at the Lost Resort
or in a separate cabin, but only by pre-booking and on a first-come-first-served basis.
No guarantee can be given that accommodation will be available at any time
unless you have received confirmation of your booking.
Please print and carry your confirmation email to the island.

* Indicates a response is required in this field.
Privacy: Details will be used only for booking purposes except in the event of an
emergency or a missing person when emergency services will need to be informed.

* First Name

* Last Name

* Residential Address (PO Box # unacceptable)

*Suburb

* City

State/Province/Region

* Zip/Postal Code

* Landline Number (digits only, no spaces)

* Cellphone Number (digits only, no spaces)

* Country

* Email Address

* Select your arrival date; click on the calendar icon.

* Select your departure date; click on the calendar icon.

* What is your intended mode of transport?

* Total number of people in your party?

* What is the age range of those in your party? Does any member have special needs?
If there are children under the age of 15 years, please specify their names and ages.

0/50 words

* Where on the island do you intend to stay,
or do you require accommodation at the Lost Resort?

0/100 words

Enter any questions, notes or special requests here.

0/100 words

Take only photgraphs and leave only footprints.
The island is a nature reserve ... there is no rubbish collection.
When departing, please take with you everything you brought to the island.
Abuse of visiting privileges carries consequences. NO EXCEPTIONS.

Click on the Submit bar below to send this booking, or return
to the Motu Kaikoura website without sending this form.

Be advised that use of this Booking Form gives consent to our automatically recording your IP number.

* Indicates Response Required