Welcome to Mahaa Social Awareness Marathon

Registration Form

    Registration Open For :

    Choose Age Category:

    Choose District:

    Choose Year:

    Choose Month:

    Name:

    Father's Name:

    Mother's Name:

    Husband / Spouse Name

    Date Of Birth:

    Upload Your Photo [Size : 3.5cm X 4.5cm , max file size : 50KB]:

    Upload Your Age Certificate [max file size : 100KB]:

    Gender:

    MenWomen

    Participate in Category:

    Weight:

    Participants:

    Email (Acknowledgement Will be sent here):

    Mobile Number:

    Address:

    City:

    State:

    Country:

    Registration Fees

    All Entry Payments are Non Refundable

    Choose Category:

    Total Number of Students

    Total Amount

    Payment Method:

    Message:

    Emergency Contact Form

    Emergency Contact Name

    Emergency Contact Number

    Emergency Contact Relations

    Blood Group:

    Do you have any chronic disease?

    YesNo

    Do you Suffer from any respiratory illiness?

    YesNo

    Have you had any fainting episodes in the past?

    YesNo

    Any other ailment for which you undergo regular medication?

    YesNo

    Any known allergies, including towards known medicines?

    YesNo

    Do you have Yuva Marathon Runners Club Membership?

    YesNo

    I accept the MSA Waiver (or) I agree Rules & Regulation and Disclaimer.

    Disclaimer:

    Organizers, Sponsors and event supporters of Marathon Runners Registration shall not be held responsible for any kind of accident or physical injury or any other health issues encountered on participation in this event.Although the organizers have taken all the safety measures, precautions and arranged for the medical assistance for the medical during the course of event if required. All the expenses incurred pre & post medication shall be borne by the patient only.It is the sole responsibility of the participant to get clearance from the doctor prior to participating in this event.

    Organizers, Sponsors & event supports of MSA are not entitled for any kind refunds in case of cancellation or rescheduling of the event due to any unforeseen natural/ political circumstances.

    It is the responsibility of the participants/parents of the children to thoroughly read the terms and conditions to registering for this event.

    Upload Your Payment Challan

    Upload Your Signature:

    Bank Account Details

    A/c Name:
    Life - Giving Trust
    A/c no:
    31175383764,Saving Account,
    State Bank of India, Melur Branch,
    Madurai.
    IFS Code: SBIN0000258

    A/c Name:
    S.Mahalakshmi
    A/c no:
    495962156,Saving Account,
    Indian Bank , Tallakulam Branch,
    Madurai.
    IFS Code: IDIB000T003