Expedition form

First name

Last name

Email

Phone

Birthday

Which dates would you like to join?

Why are you interested joining this expedition and what are the key things you're hoping to get out of it?

I certify that I can swim at least 300 metres unaided in open water without difficulty and I am confident in my swimming abilities in open water

By agreeing to the following statement, I affirm that I am physically fit for the program's activities, including hiking and swimming, and I will purchase my own travel and medical insurance for the full duration of my stay overseas during this program.