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Contact Information
First Name*

Last Name*

Email

Mobile number* Do Not start with 0
Gender*
Male Female Non-binary

Nationality*
Indian national Foreign national

Passport Number
State*

City*

Street Address

Pincode*
Category & Other information
Select Category*
5KM 10KM

Date of birth*

Name on the bib* maximum of 16 characters allowed
T-shirt Size*
XS(34) S(36) M(38) L(40) XL(42) XXL(44) XXXL(46)

Click here for T-Shirt size chart
Name of your running / cycling group Select your running / cycling group from the drop down or select Others to add group name

If Others, please specify
Blood group*

Emergency contact name*

Emergency contact number* Do Not start with 0
Medical Information
Do you suffer from cardiovascular disease? *
Yes No

Do you suffer from Chest Pain (At Rest / Daily Activity / Physical Activity)? *
Yes No
Have you lost balance due to Dizziness?*
Yes No

Have you been diagnosed with asthma?*
Yes No
Have you ever suffered from attacks of Seizures, fits or epilepsy? *
Yes No

Have you been advised by doctor to engage in Physical activity under medical supervision? *
Yes No
Do you suffer from any chronic illness not mentioned above, which limits you from Physical activities? *
Yes No

Have you recently (within the last 6 months) been infected with Covid? *
Yes No
Pregnant Women : Has this or any previous pregnancy been defined as being at risk?*
Yes No Not Applicable
If the answer to any of the above questions is "Yes", then a medical certificate from your doctor is required to be produced at the time of collecting your bib, failing which your registration may be cancelled without refund of registration fee.
COVID Vaccination Status

Select your vaccination status below
I am*
fully vaccinated - 2 doses partially vaccinated - single dose yet to get vaccinated
A medical certificate from your doctor is required to be produced at the time of collecting your bib, failing which your registration may be cancelled without refund of registration fee.
If you want to add more Members? Please add it here.
Family / Dependent
Name on the bib Date of Birth

Gender
Male Female Non-binary

T-Shirt Size
XS(34) S(36) M(38) L(40) XL(42) XXL(44) XXXL(46)

Category
5KM 10KM
Family / Dependent
Name on the bib Date of Birth

Gender
Male Female Non-binary

T-Shirt Size
XS(34) S(36) M(38) L(40) XL(42) XXL(44) XXXL(46)

Category
5KM 10KM
Family / Dependent
Name on the bib Date of Birth

Gender
Male Female Non-binary

T-Shirt Size
XS(34) S(36) M(38) L(40) XL(42) XXL(44) XXXL(46)

Category
5KM 10KM
Family / Dependent
Name on the bib Date of Birth

Gender
Male Female Non-binary

T-Shirt Size
XS(34) S(36) M(38) L(40) XL(42) XXL(44) XXXL(46)

Category
5KM 10KM

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Register

Contact Information

Category & Other information

Medical Information

COVID Vaccination Status

If you want to add more Members? Please add it here.

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Family / Dependent Reset

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Family / Dependent

Family / Dependent

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Family / Dependent