Details in this form must be the same as appears in your passport. Please complete one form for each individual
NOTE : IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, FURTHER INFORMATION MUST BE OBTAINED FROM YOUR MEDICAL PRACTIONER, AND DETAILED ON THE WILD TREK MEDICAL FORM, AND YOUR DOCTOR MUST STATE YOU ARE MEDICALLY FIT TO UNDERTAKE THE TREK.
By checking this button you acknowledge that you have read and understood the Terms & Conditions, and you accept all Terms & Conditions
We recommend you print a copy for your personal records prior to checking the acceptance button.