Registration Form RISE ABOVE BARRIERS FUN & SUPPORT WALK APRIL 28,2024
Last Registration Day - April 24 2024
Let the FUN begin!
Your Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Date of Birth
-
Dag
-
Maand
Jaar
Datum
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Which route will you take?
5 KM - walk
5 KM - run
10 KM - walk
10 KM - run
Shirt Size
*
S
M
L
XL
XXL
XXXL
Would you like to be updated about all the good work Rise Above Barriers does with your contribution?
Yes
No
Registration fee
Normal Nafl. 55,-
Payment
Please pay for your participation within 5 days by bank transfer stating your name to MCB bank account number:34493904 in name of Rise Above Barriers Foundation. Within 24 hours after your payment you will receive a confirmation via email.
Submit
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