Always on the Move
* Required
Name *
Your Email ID *
Contact Address *
Date of Birth (mm/dd/yyyy)*
Parents Name
Person / Parent / Guardian Email ID
Phone Number
Mobile Number *
Trek To ( Place as per the event sent ) *
Blood Group *
History of Previous Illness If Any ( In case of non use "N/A") *
Enter Above Character Here: *
Declaration : * Yes, - I am fully aware of the dangers and difficulties involved in the adventure activities and will not hold the club responsible for my own actions and involvement.- I abide by the rules and regulations framed by the club and any subsequent amendments to it.- I have or will clearly outline to the organiser any physical restrictions and disabilities or any predisposition to sickness or injury that I may have.- I will take full responsibility for any injury, loss or damage to my person and / or property that may arise directly or indirectly from my participation.