Eden to Addo Great Corridor Hike Application
What Hike are you applying for? *
Name *
Your answer
Surname *
Your answer
Date of Birth *
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DD
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Gender
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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? *
Your answer
Vegetarian YES OR NO? *
Your answer
Food sensitivities & special requests: *
Your answer
Preferred beverages to be available at Honesty Bar
Your answer
Medical Aid Name
Your answer
Medical Aid Number
Your answer
Main Member Name
Your answer
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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How did you find out about this event?
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