Spear of Survival Entry FormHome > Spear of Survival Entry Form INSTRUCTIONS: Kindly have the following at hand before completing: (1) A Curriculum Vitae (CV) of no more than 3 pages in pdf format, (2) a passport-sized photo in jpg or png format, and (3) a scanned copy of a national ID in pdf or jpg format. These will have to be uploaded with your submission. A non-refundable application fee of GH ¢100 is also required to be paid to Mobile Money # 054-842-4903. The number bears the name "BraveHearts Expeditions". The reference number must be included in the application. Please note, answering YES or NO to any question, medical or otherwise, will not automatically bar you from participating in the contest. Our medics will give you a thorough examination before declaring you fit for the contest. Full Name Date of birth - DD-MM-YYYY Sex MaleFemale Your Email Mobile Number Emergency Number Residential Address Ghana Post GPS City/Town Country ---BeninBurkina FasoCape VerdeGhanaGuineaGuinea BissauIvory CoastLiberiaMaliNigerNigeriaSenegalSierra LeoneThe GambiaTogo Application Fee Reference Number Occupation Previous adventure experience Weekly Exercise Routine How did you hear about Spear of Survival? FacebookTwitterInstagramWebsiteTV3Others Do you consider yourself a competent swimmer? YesNo Do you / have you ever suffered from breathing or chest problems (asthma, pneumothorax, etc.)? YesNo Do you / have you had any heart problems or conditions? YesNo Have you ever suffered from unexplained collapse or loss of consciousness? YesNo Have you ever suffered from any sort of mental illness / phobias? YesNo Do you / have you ever suffered from any allergies of any type? YesNo Have you ever been treated / investigated for any long-term musculoskeletal problems? YesNo Do you / have you ever had any other medical problems? YesNo Are you currently taking any medication? YesNo Do you have any dietary requirements (e.g. vegetarian)? YesNo If you answered yes to any of the above, please provide details: Are you on any insurance? YesNo Please provide insurance card details Current weight (kg) Current height (m) Upload Passport-sized photo: Upload CV Upload ID Acceptance of our T&Cs and Indemnity Agreements By checking and submitting this form, you declare that you have read and understood the Terms & Conditions covering your participation in the Show, waive all claims and assume all risks associated with your participation. [recaptcha]