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Kokoda Trail Treks
  • Book Now
    • Book now 2023
    • Our Booking Terms and Conditions
  • About the Track
    • What is the Kokoda Track?
    • Kokoda Track FAQ
    • Kokoda Track Trek Map
    • Along the Track
      • Trekking Direction
      • Food on the Kokoda Track
      • Kokoda Track Geography
      • PNG people and courtesy along the Track
    • Kokoda Brochure
    • Private Groups
    • Kokoda History Trips – No Trekking
    • Extend Your PNG Stay
      • Loloata Private Island Resort
    • Giving back to Kokoda
      • How we Give Back
      • Previous Giving Back Projects
    • Kokoda Campaign History
    • Where to get trekking gear
  • Costs & Dates
    • 2023 Costs & Dates
    • 2022 Costs & Dates
      • 2022 Update to Trek Kokoda
    • Extend Your PNG Stay
      • History Trips – Non-Trekking
      • Loloata Private Island Resort
    • Trek Inclusions
    • Personal Guide Costs
    • Insurance
    • PNG Visa
    • What to budget
  • Why trek with Back Track?
  • Health & Fitness
    • How Hard is it? How fit do I need to be?
    • Health Tips
    • Training and Gear Video Tips
    • Safety on the Kokoda Track
  • Tales from trekkers
    • Testimonials
    • Photos
    • Nikki’s story: Day 2 Hoi to Isurava
    • Trekking Kokoda with Team 6 and my brother
    • The Diary of a Kokoda Trekker
    • Salvos Trek: video of our 2017 trek
    • Born to walk and trek!
    • Best friends for life forge new bond
    • I have a whole different Dad now!
  • About us
    • Info Talks
    • Our Aussie Trek Leaders
    • Our Local Trekking Crew
    • Our Trekking Philosophy
    • Contact Us
Tel: 07 3850 7600
  • [ May 7, 2020 ] Private Webinar Registration Uncategorized
  • [ December 24, 2019 ] How to choose which trekking company on the Kokoda Track blog
  • [ December 24, 2019 ] BUSTED: Five Myths about Trekking the Kokoda Track blog
  • [ October 15, 2018 ] Anna’s Story: How walking the Kokoda Track impacted me blog
  • [ May 22, 2018 ] Light up Naduri Community
  • [ January 25, 2018 ] Nikki’s story: Day 2 Hoi to Isurava blog
  • [ December 19, 2017 ] What is the Kokoda Track? Kokoda
  • [ August 29, 2017 ] Mark and his family conquer the Kokoda Track blog
  • [ July 31, 2017 ] Trekking Kokoda with Team 6 and my brother blog
  • [ July 31, 2017 ] Salvos Trek: video of our 2017 trek blog

PDC TEST

Personal Details - Kokoda

Please note that this questionnaire is strictly confidential and is to be completed by ALL Kokoda trekking participants.

Step 1 of 6

16%
  • Your Details

  • As per your passport
  • Emergency Contact Details

    Please provide details for an Emergency Contact at home. We use this information should we need to contact someone on your behalf in the event of an emergency.
  • Travel Insurance

    Travel Insurance is compulsory for this trek. Your policy must include Emergency Evacuation cover. You are also welcome to arrange your own insurance from any Travel Insurance provider, or arrange Personal Travel Insurance, direct with CoverMore Travel Insurance here.

  • Medical Questionnaire

    This Questionnaire is Strictly Confidential and must be completed by ALL Kokoda Track participants.
  • IMPORTANT:THE SAFETY AND WELL BEING OF OUR TREKKERS IS OUR PRIMARY CONCERN

    We strongly recommended an immediate visit to your Doctor to determine if you have any health issues that may prevent you from participating in the holiday or from undertaking adequate fitness preparation. Discuss with your Doctor the merits of undertaking a cardio vascular stress test. We highly recommend this test. Do not underestimate the mental and physical challenge of trekking the Kokoda Track.

    Over 60 years of age: If you are 60 years or older at the time of departure, in addition to completing this Medical Questionnaire, you must also submit a Medical Clearance Letter, signed by your Doctor indicating you are capable of completing the Kokoda Track. This letter has been provided by us in your Booking Confirmation Pack, This signed letter must be returned within 30 days of us sending your Confirmation pack. If your Doctor finds you medically incapable, refund of your deposit will be made only if the letter is received by us within the 30 days. Receipt outside 30 days, strict no deposit refund conditions apply.

    All relevant Health and Medical information as requested in this questionnaire MUST be disclosed as a condition of booking.

  • If you have a medical condition that precludes you from obtaining travel insurance cover for that condition, you must advise us immediately.
    On receipt of this form Back Track may request that you obtain a medical certificate from your doctor testifying that your doctor believes that you are capable of completing the trek.
  • Fitness Questionnaire

    This Questionnaire is Strictly Confidential and must be completed by ALL Kokoda Track participants.
  • The Kokoda Track is a tough, physically and mentally challenging adventure. For all Kokoda Team members, there is a chapter on Kokoda fitness preparation in Back Track's Training and Endurance Guide. Please read this carefully. You are welcome to call us on the Kokoda Assist Line (1300 669 780) if you wish to discuss your training options.
  • Indemnity and Release

  • In consideration of the acceptance of my Booking Form and deposit to Back Track Adventures, ABN 23910991873, I acknowledge that I have read and understood the Booking Form Terms and Conditions and terms of this Indemnity and Release and:
    1. Release and agree to be bound by the terms of same.
    2. Except where provided or required by law, or deemed “unfair” in accordance with Australian Consumer Law and as such cannot be excluded, I agree that it is a term of my acceptance of my Booking Form and deposit that for myself, my executors, administrators, heirs, next of kin, successors and assigns, I hereby: (a) waive and release all claims that I may have against Back Track Adventures, its officers, directors, members, volunteers, employees, agents, sponsors, stakeholders, other participants, and any other persons involved in this activity (“the releasees”) including any and all claims for damages caused by negligence or otherwise, arising out of my participation in the activity, together with any costs including legal fees that may be incurred as a result of any such claim whether valid or not and (b) indemnify and hold harmless the releasees and each of them against any such claim that I or my guests or any one or more of my executors, administrators, heirs, next of kin, successors or assigns may have or assert and against any costs including legal fees with respect to such claims.
    3. If I am in breach of the terms of my Participation, I agree to recompense the appropriate party/s for all loss and damage (including legal fees) arising out of such breach, including any damage to the party’s reputation.
    4. I attest and verify that I am physically and mentally fit, in good health and able to participate in the stated activity and that I have not been advised by a qualified medical practitioner not to participate.
    5. I agree to abide by all the rules, regulations and instructions given from time to time, governing this activity and that breach of these rules regulations and instructions will be a breach of the terms of my Participation.
    6. I accept that if the activity is cancelled for any reason whatever, refund of any part of my participation fee is governed by the booking “Terms and Conditions.” The event has a privacy policy and the information I have provided on all forms received by me from the releasees is necessary for the conducting of this activity and will only be used for the purpose of conducting this activity.
    7. I consent to the publication and/or use in any form of media whatsoever of my name, image, voice, statements or otherwise, without payment or compensation.
    8. I have voluntarily entered into this agreement and have read, understood and acknowledged the terms of “Participation” including, exclusion of liability, release, indemnity and information provided in the Booking form.
  • Declaration

  • By submitting this Declaration, I hereby acknowledge that I have read and understood (1) The Medical Questionnaire, (2) The Fitness Questionnaire and (3) The Indemnity and Release and declare that the answers to all questions on the Medical and Fitness Questionnaires are true and I have not withheld any information from Back Track Adventures as to the true nature of my fitness and physical well being. I agree to this information being made available to a medical officer or Trek Leader. I agree to provide a Medical certificate from my Doctor certifying his belief in my ability to undertake the Kokoda trek if requested to do so by Back Track Adventures. If after paying a deposit and booking and on examination of these forms and if requested, medical certificate or other information, Back Track Adventures refuse my participation in the trek booked, I will receive back any funds (deposit) paid to Back Track Adventures. Back Track Adventures will not be held liable for any action due to and not limited to costs, inconvenience, and emotional distress resulting from their refusal to accept my booking.

    Read the Back Track Adventures Kokoda Booking Terms & Conditions here.

  • Declaration for Minors

    If you are under 18 years at the time of booking, this declaration MUST be signed by your parent or guardian.
  • By signing this Declaration, I the undersigned certify that I am the parent/guardian of (“the minor”) who will be (_____) years of age on the day of participation of the activity. In consideration of Back Track Adventures accepting the Minor’s application to participate in the activity, I agree to indemnify and shall keep indemnified Back Track Adventures in respect of any losses they or any of them may suffer as a consequence of any claim/s by the Minor and to the same extent as any other participant indemnifies Back Track Adventures pursuant to the Indemnity and Release above.
  • This field is for validation purposes and should be left unchanged.

Recent Posts

  • Private Webinar Registration
  • How to choose which trekking company on the Kokoda Track
  • BUSTED: Five Myths about Trekking the Kokoda Track
  • Anna’s Story: How walking the Kokoda Track impacted me
  • Light up Naduri

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Categories

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  • What you need to know

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FUTURE KOKODA TREKKERS: WANT SOME MORE INFO?

To get an inside look into what our Kokoda treks entail, join us for a FREE 45-minute online information sesssion!

 

NEXT ONLINE INFORMATION SESSION: To be advised. 

 

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About us
Founded in 1984, we sent our first trekkers over the Kokoda Track as far back as 1985. Then, only a handful of people ever walked the Track in any year. Today, we take many trekkers and we are honoured to share the history of the Track, and to help you achieve your personal challenge.
Proud of our long history!
Proud of our long history!
Our accreditation:
Our accreditation:
Get in touch
Tel: (61 7) 3850 7600
Email: enquire@backtrack.com.au
222A Barry Parade (PO Box 132)
Fortitude Valley QLD 4006
AUSTRALIA

©Back Track Adventures