NEB Sports OWSF Open Water Swimming Competition – Relay 6KM Registration

Name*

Mobile No.*

Email Address*
Name of Relay Members:*
Age of Each Member:*
Date of Birth of Each Member:*
Gender of Each Member:*
Emergency Contact Name*

Emergency Contact Number*

Do the members currently or have any prior medical conditions that require attention*
—Please choose an option—YesNo
Prior swimming certificate (Each swimmer 1 km & above)*





Govt issued photo ID with date of birth*




Medical Certificate*

I have read & accepted the Rules & Regulation and Disclaimer

Registration Fees - ₹4000 (10% off on your registration fees.)