REGISTRATION FORM: 400km Eden to Addo Great Corridor Hike

Registration Procedure:

  • Please complete the registration form below, save it under your name and email to Eden to Addo at or post to The Eden to Addo - Great Corridor Hike, PO Box 1, Plettenberg Bay 6600, South Africa.
  • Early registration is recommended as only 20 places are available.
  • Price is fully inclusive of all meals, guides, camping fees, permits, safari tents and return transfers to Plettenberg Bay and Knysna or PE Airport after the hike. An honesty bar is on offer in the evenings and alcoholic beverages are not included in the price. No Spending money will be required for the duration of the hike.

Surname:
Name:
ID Number:
Date of Birth:
Gender:
Cell Phone:
Home Phone:
Business Phone:
Email Address:
Postal Address: (Required)
Occupation:
Previous Hikes: / Hike Name: Year Completed:
Hike Name: Year Completed:
Hike Name: Year Completed:
How did you hear about the Eden to Addo Mega-Hike?
  • Local Newspaper

  • Magazine

  • Radio

  • Book

  • From a friend

  • Direct Email

  • Other (please specify)

Meals
Please indicate if you are vegetarian: (yes / no)
Food Sensitivities & Special Requests:
Preferred beverages to be available at Honesty Bar
Medical Details:
  • Medical Aid Name:

  • Medical Aid Number:

  • Main Member Name:

  • Doctor’s Name:

  • Doctor’s Telephone:

  • Do you have any chronic conditions?
/ If yes, please specify:
  • Are you on medication?
/ If yes, please state name and type of medication:
  • Do you have any allergies?
/ If yes, please specify:
Emergency Contact Details:
  • Surname:

  • First Name:

  • Relationship:

  • Home Telephone:

  • Cell Phone:

  • Email Address:

Thank you! / Please see Indemnity Form and Payment Details below.

Indemnity Form:

I the undersigned hereby agree and declare that:

  • My participation in “The Eden to Addo – Great Corridor Hike” is entirely at my own risk and that I am sufficiently competent to take part.
  • I agree that the Eden to Addo Corridor Initiative, its respective members, sponsors and all persons assisting with the organization of the Eden to Addo Great Corridor Hike shall not be liable for injury, damage, loss or expense of any nature whatsoever and however arising, which I may suffer or incur arising from my participation, and I indemnify the organizing parties and hold them harmless in respect of any claim relating to such liability.
  • I confirm that I am physically fit and sufficiently capable to hike an average of 20 to 35km per day for 20 days, at times bundu bash, ascend and descend rocky terrain and rivers, and that I am acquainted with and bound by all rules governing my participation on the Great Corridor Hike.
  • I agree the entry participation donation is non-refundable.
  • I give permission to Eden to Addo Corridor Initiative and its sponsors to use free of charge my name and any image of me contained in photographs and /or video footage of the hike, in any marketing materials produced by or for Eden to Addo in the future.

PARTICIPANT’S SIGNATURE: DATE:

DONATION

Deposit and Payments Details:

On acceptance of your registration a non-refundable and non-transferable deposit of R 12 000.00 is payable to secure your place.

Payments to be made in two tranches as follows:

R 12 000.00on acceptance (non-refundable and non transferable to another year)

R 12 000.00over the next two months from date of acceptance

TOTAL: R 24 000

This is a donation and you will be issued with an 18A tax certificate.

For electronic payments, please use your initials and surname as reference.

Bank: Absa Bank

Account No.9186949260

Branch: Knysna

Branch No.632005

Bank Address:Cnr. Main and Grey Street, Knysna, South Africa

Swift Code:absazajj

IBAN: 632005

Please fax deposit slip / proof of payment to: 044 533 1623 or Email:

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