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.
Date of Birth:
Wild Card Number:
Please quote your Wild Card Number if you have one.
Please confirm the traverse/s you are registering for.
Traverse 1: Cederberg - 7 Days >> 24 - 30 September
Traverse 2: Kouebokkeveld - 6 Days >> 30 September - 5 October
Traverse 3: Agterwitzenberg - 7 Days >> 5 October - 11 October
Traverse 4: Hex River - 8 Days >> 11 October - 18 October
Traverse 5: Langeberg - 8 Days >> 18 October - 25 October
Traverse 6: Will be confirmed March 2018 - please check if you plan to register
Traverse 7: Will be confirmed March 2018 - please check if you plan to register
Traverse 8: Will be confirmed March 2018 - please check if you plan to register
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. This will then reflect on your invoice.
If you are accepted on a sponsored place, please check the box below. You will not be issued an invoice.
I am sponsored
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 donation.
Cape Town to Mountains
Yes please, one way to the hills. Rate: R420
Mountains to Cape Town
Yes please, all the way home. Rate: R420
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.
Yes please, I wish to apply for a single person tent
Where did you hear about the Rim of Africa from?
Medical Aid Name:
Medical Aid Number:
Do you have any chronic medical conditions?
Are you currently on any medication?
Please list medication you may be taking while on the hike.
Do yo have any allergies?
Next of Kin First Name:
Next of Kin Surname:
Next of Kin Relationship:
Next of Kin Cellphone:
If there is anything else you feel we should know to ensure your safety and support on the trail, please leave comments here:
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service