Personal Information

First Name*Last Name*Email*Number*Date of birth*Gender*Country*

Emergency Contacts

NExt of kin NAmE*NExt of kin PHONE*NExt of kin EMAIL*Relationship to next of kin*

Medical Information

Doctor's name*Doctor's Phone*Doctor's Email*Medical aid/insurance provider*Medical aid Number*policy holder name*Medical conditions/allergiesMedications

Skills & Experience

Languages spoken*Previous event experience*Specialist SkillsMedicalParamedicPhysiotheraphyITMechanicsOutdoorLeadershipCommunicationsOtherIf other please specifyFitness level*Can walk 10km dailyCan walk 20km dailyCan walk 30km+ dailyDrivers License*YesNoWilling to drive in South Africa?* (Note: SA drives on the left)YesNo

Logistics

T-shirt size*SHOE size*Dietary Requirements*NoneVegetarianVeganGluten-FreeOtherIf other please specify

Motivation

Why do you want to volunteer?*Brief Personal Biography*How did you hear about us?*

Terms & Conditions

I confirm I have read and understood the Africa Wild Ultra™ Volunteer Brief*I confirm I have read and agree to the Terms and Conditions*I grant Africa Wild Ultra™ permission to use my image in marketing materials*I understand I must be food self-sufficient during race days*I confirm that I am older than 21 years of age*

All volunteers qualify for a 10% credit for one race entry for the following years race edition.

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