5KM Cross-Country Race Registration

Registration Form

5 KM Cross-Country Race

Section 1: Participant Details

1. Full Name *

2. Date of Birth *

3. Age on Race Day *

4. Gender *

5. Nationality *

Section 2: Contact Information

6. Phone Number *

7. Email Address *

8. Residential Address *

Section 3: Emergency Contact

9. Contact Name *

10. Relationship *

11. Phone Number *

Section 4: Race Details

12. Race Distance

13. Category *

14. T-Shirt Size *

Section 5: Medical Information

15. Any medical conditions? *

Yes

Section 6: Consent & Declaration

16. Declaration of Fitness & Risk Acceptance *
I declare that I am physically fit to participate in the 5KM Cross-Country Race. I understand and accept the risks involved in participating in this event.

17. Media Consent
I consent to the use of my photographs/videos taken during the event for promotional purposes.

Section 7: Registration Number Assignment

Reg. numbers will be assigned automatically after form submission.

Format: 5KMCCR-001, 5KMCCR-002, 5KMCCR-003...