Apply to Join | Kilimanjaro For A CauseApply to Join | Kilimanjaro For A CauseIf you are human, leave this field blank.Guide preferenceTanzanian guide (cheapest)Australian guide (premium service)Private trek (Tanzanian guide)Private trek (Australian guide)Available dates (Tanzanian guide)11 - 23 Mar 2021 (Lemosho)27 Jun - 9 Jul 2021 (Lemosho)6 - 17 Jul 2021 (Machame)24 Jul - 5 Aug 2021 (Lemosho)14 - 25 Sep 2021 (Machame)UndecidedN/AAvailable dates (Australian guide)16 - 28 Aug 2020 (Lemosho)10 - 22 Jan 2021 (Lemosho)Later in 2021 - 2022 (dates not released)N/APrivate trek (preferred start date)Adventurer #1 (as per passport)*First NameLast*Last NamePreferred*NicknamePassport number*Passport numberNationality*NationalityGender*MaleFemaleOtherPassport expiry date*Expiry date (dd/mm/yyyy)Date of birth*Date of birth (dd/mm/yyyy)Phone*PhoneEmail*EmailAdventurer #2 (as per passport)First NameLastLast NamePreferredNicknamePassport numberPassport numberNationalityNationalityGenderMaleFemaleOtherPassport expiry dateExpiry date (dd/mm/yyyy)Date of birthDate of birth (dd/mm/yyyy)PhonePhoneEmailEmailAddress*StreetSuburb*SuburbState*StatePostcode*PostcodeTell us about you*We use this info to make sure this is the right adventure for you. If your application is successful, we also use the information to introduce you to the rest of the tour group. Things you could include: what you do, things you are passionate about, what you are most excited for during the tour, something interesting/unique about you, etc.Allergies, medical conditions or special requirements*We can cater for most allergies and medical conditions. If you are concerned, please let us know so we can organise a time to discuss with you.Emergency Contact*First NameEmergency Contact*Last NamePhone*PhoneEmail*EmailHow did you hear about us*Friend or family memberYoga studioTravel agentSocial mediaGoogle searchOtherDo you require assistance booking flights ($50 booking fee/flight)?Discount codePlease enter your discount code.Flights*Yes (I need help booking)No (I will book my own flights and email my fight itinerary to info@adventureoutloud.me)Travel insurance*Yes (I need help booking)No (I will purchase my own policy and email a copy of my policy to info@adventureoutloud.me)I want to add: Single Supplement (AUD$300pp) Hotel upgrade (From AUD$300pp) Safari (1 - 5 days) Zanzibar (4 days) Gorillas (4 days) Mafia Island & whale sharks Other - please contact mePayment options* 10% Deposit with subsequent weekly/fortnightly/monthly instalments 10% Deposit with subsequent instalments (25% at 180, 120 & 90 days before departure | remainder 60 days before departure) Pay full fee nowUpon receipt of your registration form, we will send you an invoice that includes payment options and directions for payment. Minimum deposit is 10% of total fee.Sponsor a disadvantaged student through school?* Yes No Send me more informationSponsorship is not mandatory. AOL donate 50% of our profits to charity so you are already making a big difference just by travelling with us. We do appreciate when our adventurers go above and beyond and personally sponsor though. By doing this, you will empowering a young African student by keeping them in school. Sponsorship starts from AUD$7 - $20/week and 100% goes to our partner charity. Fundraising is also a great option.I acknowledge that the information supplied on this registration form was supplied by me, is true and accurate and if under 18 years was provided in the presence of and with the approval of my parent/guardian. By paying my adventure deposit, I acknowledge that I have read Adventure Out Loud's Terms & Conditions and that I agree to be bound by these terms and conditions.* Agree Disagree (please contact me to discuss)Our Terms & Conditions can be found below.reCAPTCHASubmit