WF-AID Mount Kilimanjaro Climb: Sign-up Form

WF-AID Mount Kilimanjaro Climb: Sign-up Form

Travelling Dates: 5th - 12th October 2023
Instructions on how to complete this section
Salamun Alaykum, 

Please kindly complete the form to the best of your ability. If you need any assistance please email info@wfaid.org
Number of Climbers

Climbers must be 23+
Adults *
Primary Contact

This will be the primary person of contact between WF-Aid and your group of climbers
Contact Name *

First Name Last Name
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number

Climber 1
Copy details from primary contact

Yes
Climber Name *

First Name Last Name
Age *
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number
Address *
City *
Postal Code *
Country *
State/Prov
Please tell us if the climber has any special requirements
e.g. dietary, health

Climber 2
Climber Name *

First Name Last Name
Age *
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number
Address *
City *
Postal Code *
Country *
State/Prov
Please tell us if the climber has any special requirements
e.g. dietary, health

Climber 3
Climber Name *

First Name Last Name
Age *
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number
Address *
City *
Postal Code *
Country *
State/Prov
Please tell us if the climber has any special requirements
e.g. dietary, health

Climber 4
Climber Name *

First Name Last Name
Age *
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number
Address *
City *
Postal Code *
Country *
State/Prov
Please tell us if the climber has any special requirements
e.g. dietary, health

Climber 5
Climber Name *

First Name Last Name
Age *
Email Address *
example@example.com
Telephone Number *

Area Code Phone Number
Address *
City *
Postal Code *
Country *
State/Prov
Please tell us if the climber has any special requirements
e.g. dietary, health