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Eden to Addo Trails and Talks Application
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What Event are you applying for?
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Year 2016 / 15 to 20 November Trails and Talks - Birding R15000. Please note this event will only be run if the minimum required 10 places are filled.
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Date of Birth
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Contact Number
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Email
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Postal Address
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Occupation
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What is the last hike(s) you did and when?
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Vegetarian YES OR NO?
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Food sensitivities & special requests:
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Preferred beverages to be available at Honesty Bar
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Medical Aid Name
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Medical Aid Number
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Main Member Name
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Doctors Name
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Doctors Telephone
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Do you have any chronic conditions? If yes elaborate.
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Are you on medication? If yes elaborate.
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Do you have any allergies? If yes elaborate.
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Emergency contact person and details:
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