Rim of Africa 2018 - Registration
Please fill in all boxes and click on the submit button at the end. The information required is for your safety while hiking.
Please be accurate regarding your health status and any medication you may be taking.
Surname: *
Your answer
First Name: *
Your answer
Email Address: *
Your answer
Cellphone: *
Your answer
Postal Address:
Your answer
ID Number: *
Your answer
Date of Birth:
Your answer
Gender:
Occupation:
Your answer
Wild Card Number:
Please quote your Wild Card Number if you have one.
Your answer
Traverse Sections
Please confirm the traverse/s you are registering for.
Donation Level *
Please insert the total amount you have committed to donate for all the sections you are registering for, as per your application and the email you received from us. No commas or points. please DO NOT insert the Rand symbol. This will then reflect on your invoice.
Your answer
Sponsored Place
If you are accepted on a sponsored place, please check the box below. You will not be issued an invoice.
Transfers
Please indicate which transfers you wish to take. These are charged at R420pp each way and are supplied by an independent operator. We highly recommend it. The amount will be added to your invoice.
Cape Town to Mountains
Mountains to Cape Town
Tent rental
We have a limited supply of single person tents to rent. Please indicate should you wish to apply for a tent. We will then confirm availability.
Where did you hear about the Rim of Africa from?
Medical Aid Name: *
Your answer
Medical Aid Number: *
Your answer
Do you have any chronic medical conditions? *
Your answer
Are you currently on any medication? *
Please list medication you may be taking while on the hike.
Your answer
Do yo have any allergies? *
Your answer
Next of Kin First Name: *
Your answer
Next of Kin Surname: *
Your answer
Next of Kin Relationship:
Your answer
Next of Kin Cellphone: *
Your answer
Thank you.
If there is anything else you feel we should know to ensure your safety and support on the trail, please leave comments here:
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