Running Safari Registration
Required fields are marked with an asterisk.
Your Name*
First Name Last Name
If your group has contracted with us to create a custom Safari to meet your group's specific requirements, enter the name of your group here. Otherwise enter NA.*
Your Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
Phone Number*
Area Code Phone Number
E-mail*
Gender
Male Female
Birth Date
Month Day Year
Running Club (if any)
Do you plan to participate in our training runs?*
Yes, I plan to run No, I will not be running
Please rank your running ability*
1 2 3 4 5
1 is Novice, 5 is Elite
Do you have any special dietary requests?
Contact in case of emergency?*
Phone number for emergency contact*
Area Code Phone Number
Will a companion be joining you on the Running Safari?
No Yes
Companion Name
Will you and your companion stay in the same room?
Yes No
Note: Your companion must register separately. If you elect double occupancy you and your companion will each receive an $800 discount off your registration fee.
How will you submit payment?*
Check Credit Card

Please choose the item you wish to put on your credit card:

Non-refundable Deposit for Running Safari$500.00

Payment in Full for Running Safari$3,600.00

Payment in Full for Running Safari - Double Occupancy$2,800.00

Payment Method

Running Safari Registration