Registration for KCA Climb to Kilimanjaro, March 2027
Many thanks for your interest in climbing with KCA to Mount Kilimanjaro. If you would like to join us on this experience of a lifetime, please complete the registration form below. All data will be held in line with our GDPR policy. 

You can also find out more at our website www.kidneycare4all.com

Please note, your registration is not complete until the non-refundable deposit has been made. Once you have completed this form one of our team will be in contact with you to arrange payment. Many thanks

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First name (as per your passport) *
Surname (as per your passport)  *
Gender (as per your passport) *
Date of Birth *
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Address *
Email Address *
Contact telephone number *
Do you consent to joining a trek WhatsApp group closer to the time of departure, to aid in communication *
Passport Nationality *
Passport number *
Next of Kin *
Next of Kin relationship *
Next of Kin phone number *
Significant medical conditions *
Regular medications *
Allergies *
Dietary requirements *
Preferred departure airport
Are you travelling with anyone else? If so, please state their name so we can plan accommodation arrangements. If you are a single traveller, accommodation will be with someone of the same gender. *
T-shirt size *
Many thanks for registering for the climb. If there is anything else you would like us to know please write this below. If you have any further questions please email us at info@kidneycare4all.com
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