Mount Kenya Registration Form

We're delighted that you will be joining us on Mount Kenya! Please complete the form below and we'll be in touch!

Contact Information

Country*
State / Province*
Address*
City*
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*
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Email*
Confirm Email*
Phone*

T-Shirt Size

T-Shirt Size
  • Small
  • Medium
  • Large
  • X-Large
  • XX-Large

Medical

Please provide detailed medical information, including any underlying conditions, any medications taken and any allergies. Should you have any doubts about your ability to safely partake in the challenge, it is your responsibility to seek advice from a medical professional prior to registration. If you would like us to contact your next of kin in case of emergency, please provide contact details.

Relevant Medical Conditions
Dietary Requirements
Next of Kin Name*
Next of Kin Number*
Next of Kin Email*

Challenge Agreements

Please review the statements below and indicate your agreement by checking the relevant box on the online form.

 

Agreement 1 – I accept that my deposit is non-refundable and non-transferable.

 

Agreement 2 - Any monies forwarded and deposited into Team Kenya’s account cannot be refunded in accordance with regulations set out by the Fundraising Regulator. In the event of your withdrawal due to illness or circumstances outside of your control you will be given the option to defer. At this stage the non-refundable deposit and any costs incurred by Team Kenya will be deducted from your fundraising total and the remaining amount deferred to the next available event. Should you not wish to defer, Team Kenya will contact donors of any sponsorship already deposited into a Team Kenya account to explain the situation and will give donors the option to have their donation returned. All participants must ensure that their donors and supporters are fully aware of this clause.

 

Agreement 3 – I accept that, should I choose not to cover costs, I must have raised, and deposited into Team Kenya’s account the full fundraising total prior to departure. Without these funds being secured by Team Kenya I will not be allowed to take part in the trek and I will lose my place on the event. Team Kenya will provide me with a breakdown of sponsorship deadlines once I have registered for the event.

 

Agreement 4 – Team Kenya requires you to book your own flights and secure you own sufficient travel insurance before any bookings are made on your behalf. You must provide Team Kenya with a copy of your flight booking in sufficient time for arrangements to be made, and you must take out adequate travel insurance.

 

Agreement 5 – I understand that my fundraising does not include the cost of my flights, insurance, kit, visa, vaccinations, personal expenditure and any other item not explicitly mentioned as being included.

 

Agreement 6 – I understand that Team Kenya and the tour provider are not responsible for any loss, cancellation, curtailment, damage or injury arising as a consequence of Acts of God, fire, natural disaster, weather conditions, computer or systems failure, acts of war (declared or otherwise), terrorism, civil unrest, military or usurped power, confiscation by or under the order of any government or public local authority, or any other reason beyond our control. Team Kenya is not liable for refunds, for loss or costs incurred following actions such as cancelling or prematurely ending the challenge as a result of advice from government or official bodies. Should Team Kenya have to cancel or curtail the challenge for reasons beyond our control we will not be able to refund any of your fundraising, as the funds to finance Team Kenya’s projects or the event itself may have already been expended.

 

Agreement 7 - I understand that Team Kenya and the tour operator reserve the right to prevent my own, or the whole groups further participation in this challenge, if continuation would jeopardise my own wellbeing or that of the rest of the group.  

Challenge Agreements*
  • Agreement 1
  • Agreement 2
  • Agreement 3
  • Agreement 4
  • Agreement 5
  • Agreement 6
  • Agreement 7

Consent

Email Consent*
  • I am happy to receive emails telling me about Team Kenya’s projects, fundraising, marketing and campaigns
  • I am not happy to receive emails telling me about Team Kenya’s projects, fundraising, marketing and campaigns
  • No response
Phone consent*
  • I am happy to be contacted by phone to talk about how I can get involved
  • I am not happy to be contacted by phone to talk about how I can get involved
  • No response
Postal consent*
  • I am happy to receive post telling me about Team Kenya’s projects, fundraising, marketing and campaigns
  • I am not happy to receive post telling me about Team Kenya’s projects, fundraising, marketing and campaigns
  • No response
Additional Comments

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