Tanzania / Mount Kilimanjaro Fundraising Commitment and Registration Form

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Police Department Associated With: *

I understand and agree that: *

1. I am responsible for fundraising at least $7,500.

2. I understand that the amount raised is non-refundable.

3. My flights to and from Tanzania are my (the traveler’s) responsibility and will not be covered by fundraising.

4. I must arrive in Arusha on or before July 14th.

5. I must work with K2 Adventures to arrange details and logistics for the trip.

6. I will attend preparation meetings prior to the trip.

7. Deposit deadline is April 1st ($1,000).

8. Full amount of $7,500 is due by May 15th.

Photo Release *

I agree to have my name and image used by K2 Adventures and Angels on Patrol.

Participant name: *

Date * +

Participant signature *

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