Register For the Namibia Desert Challenge

Registering for this exciting challenge is as simple as following the 3 steps detailed below.

Your registration will be confirmed once all the steps have been completed.

Step 2

Download and print this medical questionnaire

Step 3

Complete this registration form and pay your deposit

First Name: *

As on passport

Last Name: *

As on passport

Email: *

Date of birth: *

Payment method: *

Choose your deposit payment method

Daytime Phone No:

Mobile Phone No:

Address:

Dietary Requirements or Allergies:

Passport Details

The following information is required so we can book your flight

Nationality:

Passport No:

Passport Issue Date:

Passport Expiry Date:

Passport must be valid for at least 6 months after the end of the Challenge

Place of Issue:

Travel Insurance: *

I understand I am responsible for arranging personal travel insurance covering me for adventure travel trekking and cancellations

Agreement: *

I have read and agree to the Terms and Conditions and Fundraising Agreement

NamibiaDesertChallenge