Wildlife Experience Registration Form

Qualifications

Your English Level

Not goodGoodVery good
Do you have any previous veterinary education and/or experience? If 'Yes' please explain.

What level of hand-on experience do you have with the caring or treatment of wild animals?

Useful Information

Which course would you like to book?

Do you have any allergic or food requirement we should be aware of?

Food Requirements

NoneVegetarianVegan
Medical conditions we should be aware of while working in the field?

Are you aware of and agree to sharing rooms in accommodation with other delegates?

Yes

How did you hear about this course?

Required Agreements

I am aware that contracting my own private medical and travel insurance before arriving in South Africa is a compulsory requirement
I am aware that signing the Shelanti indemnity form is a compulsory requirement

What are your motivations to join this Wildlife Veterinary and Conservation programme?

REGISTRATION FORM

Personal Details

Emergency Contact Details

Qualifications

Your English Level

Useful Information

Food Requirements

Are you aware of and agree to sharing rooms in accommodation with other delegates?

Yes

How did you hear about this course?

Required Agreements

Declaration

082 900 5100

Shelanti@eac.co.za