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Registration form

Get connected with us if you want to have more information

  • Personal Information
  • Full Name* : Name is required
  • Mobile Number* : Number is required
  • Email Id* : Valid Email Id is required
  • Date Of Birth* : Date Of Birth is required
  • Age :
    - yrs
  • Gender is required Gender* :
  • Nationality is required Nationality* :
  • Landmark is required Landmark* :
  • Address is required Address* :
  • Emergency Contact
  • Name is required Emergency Contact Person Name* :
  • Number is required Emergency Contact Person Number* :
  • Event Information
  • Type required Run Type* :

DISCLAIMER :

The event is kidneython 2020 which is being organized to celebrate World Kidney Day. The organizers are those persons organizing the event and any member of their respective staff or other persons, including Race officials and the Medical team appointed by any of them to assist the organization of the event. I am voluntarily participating in an KIDNEYTHON with complete knowledge of the associated risks, and I agree to accept responsibility for all risks of injury. I also acknowledge that Kidneython does not offer any formal training program for this race. By signing this disclaimer, I declare that I am medically able, properly trained, physically fit and capable of participating in a race and that my medical care provider has approved my participation. I will participate in the event entirely at my own risk and responsibility and that the organizers are not liable for any personal injury including death or for any loss or damage to the property that I may sustain or incur whilst so doing, howsoever such injury, loss or damage may be caused. I agree to independently consult my physician in the event of any Injuries or medical questions arising from or related to my participation in the Kidneython 2020. I also acknowledge full and sole responsibility for my own medical expenses and that I am responsible for any and all media expenses on my behalf. I hereby grant my consent and permission to Kidneython 2020, its partner organizations to use any and all information submitted in my application, and/or my name, photograph, Videotape, motion picture recording, voice or likeness for any purpose, including pre-race and post-race publicity. I/We have carefully read this Disclaimer and fully understand its contents. By agree this I/we have indicated that, I/we have read, understood and agreed to the terms and conditions of the race.

I agree with the terms and conditions

I ensure I will follow all COVID 19 related guidelines updated time to time by relevant authorities

(Please ensure correct address & T-shirt size)

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Thank you for your registeration

Registeration number : #.

Please save this for future references

You will recive a email confermation shortly on this email id :

gauravsolanke@techinvento.com

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