Hope Alive Tour Application

Which tour are you applying for? *

Any future date

Name (as in passport) *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth *

Unfortunately we do not accept applicants under 25 years of age.

MM

DD

YYYY

Home number

Country

(###)

###

####

Do you hold a valid UK driving licence? *

Yes

No

Do you hold a valid passport? *

If you answered "Yes" and you are applying for the international tour, please answer the following questions regarding your passport.

Yes

No

Date of passport issue

For international tour only

MM

DD

YYYY

Date of passport expiry

For international tour only

MM

DD

YYYY

Is your passport valid for more than 6 months after the date of departure?

For international tour only

Yes

No

Have you looked into your vaccination requirements? *

For international tour only Please contact your nearest travel clinic and disclose that you are travelling to rural Moldova and will be working with vulnerable children.

Yes

No

Do you give us permission to conduct a DBS or police check?

For international tour only

Yes

No

Emergency contact *

First Name

Last Name

Character reference *

First Name

Last Name

Will you hold a valid UK first aid certificate during the tour? *

Yes

No

Do you have the funds available to participate in the tour? *

Yes

No

Running top (unisex) size *

S (37’-39’)

M (39’-41’)

L (42’-44’)

XL (45’-47’)

XXL (48’50’)

Are you or have you ever been connected to/involved with any terrorist organisation? *

For international tour only - Operation Orphan reserves the right to approach UK Counter Terrorism units at their discretion.

Yes

No

DISCLAIMER WARNING NOTICE:   The organisers, OPERATION ORPHAN accept no liability in respect of personal injury or damage to property sustained by any person in relation to the HOPE ALIVE TOUR save where this is caused by the negligence of the organisers or sponsors. All entrants must:  • Follow the designated course and be aware of traffic and pedestrians. • Abide by the orders and directions of the tour leaders, safety officers and police. • Observe and obey all signs along the route. • Ensure they are medically fit to enter the race. • Be at least 18 years of age.    *

DECLARATION: I acknowledge and accept the disclaimer above, agree to abide by the rules and agree that the decisions of the tour officials shall be final. I confirm that I am at least 18 years of age, and that I am medically fit to enter this race. I also confirm I have never been accused of or convicted of any offences involving children, young people or vulnerable adults.