The Bakpackers Foundation

Always on the Move

The Bakpackers Foundation

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    The Bakpackers Foundation > Team Up > Registration Form

Registration Form

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    * 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") *

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    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.

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    Bakpackers Foundation, Bangalore -560030, Karnataka, India.