2025 Climb Mt. Kilimanjaro Application

September 7 - 17, 2025

Challenge yourself to a physical, mental and spiritual experience. Conquer the highest freestanding mountain (19,341 feet) and stand on the Roof of Africa in support of Parkinson's research. Join Team Fox on this once in a lifetime trek to raise money for The Michael J. Fox Foundation!

Team Fox athletes must commit to a fundraising minimum before joining the team. The fundraising minimum for the 2025 Climb Mount Kilimanjaro is $10,000.

Climb Itinerary

Fill out the application below in its entirety to be considered for a spot with Team Fox! Reach out to athletes@michaeljfox.org to request a full trip itinerary or with any questions. We look forward to seeing your application come through!

Please note, you have not been accepted to the team until you have been specifically notified by a member of the Team Fox staff. Please allow 3-4 business days for a Team Fox staff member to get back to you regarding your application.

GENERAL INFORMATION

First Name

Last Name

Address

City

State

ZIP code

Phone Number

Birth Month

Birth Day

Birth Year

Pronouns

What is your primary connection to Parkinson's disease (PD)?

How did you hear about this event?

FUNDRAISING COMMITMENT ACKNOWLEDGEMENT

By joining Team Fox for the 2024 Mount Kilimanjaro climb you will be provided with a guided summit of the Lemosho Route of Mt. Kilimanjaro in exchange for raising a minimum of $10,000 due no later than September 26, 2025. One third of this commitment ($3,500) must be raised by May 30, 2025. You will receive transportation to/from Tanzania airport, hotels and park entrance, three (3) hotel nights (2 prior, 1 post-climb), all meals on the mountain and other camping gear. All participants are responsible for purchasing their own flight, needed food, and misc. personal camping/hiking gear.

I pledge to raise $10,000.

GENERAL QUESTIONS

How do you plan on training for this trek?

Please share your fundraising plans with us. How do you intend to raise your fundraising commitment?

Let us know why you are interested in representing Team Fox.

CONFIRMATION OF TERMS

I understand I am responsible for all charges if I have not fulfilled my commitment amount by September 26, 2025. If I am not able to participate in the 2025 Mount Kilimanjaro due to injury or other circumstances, I will still be required to fulfill the commitment amount by check(s) or credit card(s) by September 26, 2025. I understand I am responsible for providing my credit card information electronically upon creation of my Team Fox fundraising dashboard. I will be charged a $25 registration fee. I understand I am not on the team until officially notified by a member of the Team Fox staff.

I understand.

STATEMENT OF INTENT & RELEASE OF LIABILITY

Yes, if selected for the team I authorize the Michael J. Fox Foundation to use any photographs or video taken in conjunction with this Team Fox event for future promotional purposes including but not limited to, print and social media.

Yes, if selected for the team I would like to join Team Fox for Mount Kilimanjaro Climb and commit to the terms described above. By signing below, I understand that I am responsible for my fundraising commitment and any additional costs associated with the race or travel to the event. I waive and release Team Fox and The Michael J. Fox Foundation from all liabilities that may arise from my participation in the event.

Full Name

Date:

MM/DD/YYYY

Contact Information