NEB Sports OWSF Open Water Swimming Competition – Solo 5 km Registration

Name*

Mobile No.*

Email Address*
Date of Birth*
Gender* —Please choose an option—MaleFemaleOthers
Age*

Emergency Contact Name*

Emergency Contact Number*

Do you currently or have any prior medical conditions that require attention*
—Please choose an option—YesNo
Prior swimming certificate (3km & above)*

Govt issued photo ID with date of birth*

Medical Certificate*

I have read & accepted the Rules & Regulation and Disclaimer

Registration Fees - ₹2500 (10% off on your registration fees.)