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Expedition Application

Personal Details

Title

First name

Last name

Password

Phone

Date

Year

Month

Day

Gender

Male

Female

Other

Would you like to receive communications from Real Humanitarian?

Yes

Postal Address

Address Line 1

Address Line 2

City

Postcode

Province

Country

Emergency Contact Details

Please provide us with an emergency contact

First Name

Last Name

Contact Number

Relationship to you

Medical Conditions

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed?

Yes

Please provide details

Terms and Conditions

Each volunteer will be asked to raise a minimum donation for their expedition group. Donations collected for the group are used to pay for volunteers’ international airfare, as well as African housing and transportation.

I agree to the above Terms & Conditions