CAG30 Field Trip sign up

CAG30 Field Trip Sign Up Form
1. Basic Personal Information
Name as per ID/Passport*

First Name(s)Middle NameLast Name
Nationality (AFRICA)
Nationality (Type your country name )
Date of Birth*

DayMonthYear
Date
Gender (optional)

MaleFemaleOthers
2. Contact Information
Email Address*
example@example.com
Phone Number (include Country Code)*

Country CodePhone Number
Emergency Contact Name*
Relationship with emergency Contact*
Friend, brother, wife, husband, mother, e.t.c
Emergency Contact Phone Number*

Country CodePhone Number
Emergency Contact Email*
example@example.com
3. Travel and Accommodation

Flight Arrival and Departure Time
Arrival Date and Time
Departure Date and Time
Special Dietary Requirements

VegetarianHalalKosherVegan
Let us know if you have any allergies or if you have any dietary requests
4. Field Trip Preferences and Needs

List of Recommended Gear -Hiking boots, Field notebook, Sunhat, Sunscreen, Camera, Personal medication, Pants/trousers (Comfortable field wear)
Which field trip are you registering for? (Choose from dropdown)*
Which other field trip are you registering for? (Choose from dropdown)
Which other field trip are you registering for? (Choose from dropdown)
Which other field trip are you registering for? (Choose from dropdown)
Physical Activity Level (Light, Moderate, Challenging)*
Do you have any medical conditions or mobility concerns we should be aware of?(If yes, comment in the box provided)

CAG30 Field Trip Sign Up Form