Lions International District 317E

Name

Enter your complete name as per ID proof

Date Of Birth

Must be at least 10 years old to participate

Biological Gender

Male Female

Required for category classification

Blood Group

O+ O- A+ A- B+ B- AB+ AB-

Important for medical emergencies during the event

T-Shirt Size

XS S M L XL XXL 3XL

Choose your preferred T-shirt size for the event

Run Category

3K 5K 10K

Choose your running distance. Registration fee will be displayed below.

Do you have any medical issues?

Optional: Help us ensure your safety during the event

Address

Your complete residential address for communication

State

State where you reside

Pin code

6-digit postal code of your area

WhatsApp No

10-digit mobile number starting with 6, 7, 8, or 9

Emergency Contact Name

Person to contact in case of emergency during the event

Emergency Contact Number

10-digit mobile number of emergency contact

Running Group/ Organization Name

Optional: If you're part of any running group or organization

Are you a Lions member?

Yes No

Lions Club International membership status

If yes, which Lions club?

Name of your Lions Club (if you are a member)

If no, have you been referred by any Lions club?

Optional: If a Lions Club member referred you to this event

Indemnity

I understand that there is no refund post registration on any grounds.

Required: Please read and accept the terms

Email

Required: For receiving e-certificates and event updates