BOOKING FORM

Wildlife veterinary course


 

You are only at 5 steps to join Wildlife Veterinary Course and practical experience by Wild Spirit. Let me show you ;)
 
1. Choose the dates you would like to join us.
2. Fill out the online application form and send it together with your CV.
3. If everything is right and we accept your application, you will receive your acceptance letter along with all details for payment within 24-48 hours.
4. Ensure your booking payment via bank transfer or Paypal.
5. Now you are part of the Wildlife Veterinary Course and practical experience! See you in South Africa.
 
Please complete the following form in order to request your place:
 
 

PERSONAL DETAILS

Name (*)

Surname (*)

Date of birth (*)

Address

City/province

Country(*)

Postcode

Telephone (*)

Email (*)

Emergency contact name and relationship (*)

Emergency phone (*)

Do you have any impairment, mental or physical problem, that may affect your performance on the course? (*)
SiNo

If yes, please specify

Do you have any special allergic or food requirement that may affect your performance on the course? (*)
SiNo

If yes, please specify

Are you vegetarian? (*)
YesNo

How do you manage stressful situations?
I take the controlGoodBad

Do you have anxiety problems (*)
SiNo

If yes, please specify

Do you take any medication that could affect your health?
SiNo

If yes, please specify

Do you have any mentally problem we should be awarded of? (*)
YesNo

If yes, please specify

Do you practice any sport? (*)
YesNo

Do you have experience on outdoor activities or field work? (*)
YesNo

Are you aware and agree sharing rooms in accommodation with delegates? (*)
YesNo

If you came with a couple please specify. If you required your own individual rooms please specify (additional price for individual room is 200€)

QUALIFICATION DETAILS

Your english level (*)

Do you have any previous veterinary education and/or experience?

YesNo

If yes, please specify

Veterinary university where you was qualified or you are currently developing your studies

Please attach your Curriculum Vitae to this application form

COURSE DETAILS

Course title (*)

Course dates (*)

What additional experiences would you like to take part in?
White shark divingBuggy jumpingElephant interactionWhale watchingNone

OTHER INFORMATION

How did you hear about this course? (*)

What is your motivation to join this course? (*)

To continue you have to accept the terms & conditions(*)

 

Indemnity form will be required to be signed at arrival: