Events Booking Form

Contact details

Title*

First name*

Last name*

Postcode*

Address 1*

Address 2

Address 3

Town*

County*

Country*

Email address*

Telephone

Additional information

Gender*

Date of birth*

Job title*

Company's name*

How would you rate your current fitness level?*

Do you have any medical conditions?*

Yes

No

If so, feel free to let us know how we could assist you during the trip:

Have you ever completed a sponsored event before? *

Yes

No

If yes, how much did you raise?

If you have any trekking experience, please share the details here:

Tell us why you want to fundraise for Farm Africa.*

Have you ever visited East Africa before?*

Yes

No

We ask all trekkers to raise a minimum of £5,000. What fundraising ideas do you have to reach this target, including who you might approach for sponsorship?*

Does your employer offer to 'match' any of the sponsorship you raise?*

Yes

No

Don't know

The cost of the trek is going to be in the region of £4,000 per person. How do you plan to fund your trip costs?*

Places on the trek will be allocated with priority given to companies who are members of Food for Good. Is your company currently a Food for Good member?*

Yes

No

If not, would you like to hear more about how your company can join Food for Good?

Yes

No

We will be looking to generate as much press around the challenge as possible. This may include us issuing your local media with a personalised press release. Are you happy for us to get in touch with your local media?*

Yes

No

Do you think your company would promote your challenge through their PR activity?*

Yes

No

Don't know

Do you have any ideas for businesses who could be approached as corporate sponsors of the Simien Mountains Challenge? *

Yes

No

Don't know

We will be providing a t-shirt designed especially for the challenge, what size would you like?*

Would you like to receive the Food for Good newsletter every other month?*

If I am successful in my application, I commit to reaching out to my personal and professional networks and pledge to fundraise a minimum of £5,000 in support of Farm Africa’s work.*

I agree to cover the costs of the challenge*

We'll make sure that you have all the information you need for your event. We’ll get in touch with you for the following purposes:

We'll email you to share event updates and fundraising advice
We'll use your postal address if we need to send you any further event information and/or materials
We may also call you to make sure you have everything you need for your event

My preferences

We would like to keep in touch with you about our work and how you can support it. You will always be in control of how you hear from us and will be able to change your preferences at any time.

New to Farm Africa?*

Yes

No

Terms and conditions

Please read and agree to the terms and conditions of this booking.

I agree to the terms and conditions*

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Simien Mountains Challenge - Application Form

Contact details

Additional information

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