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EMAIL: pokharaenduro@gmail.com
PHONE: +6596271457

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Personal Details

First Name^*

Last Name^*

Password^*

Confirm Password^*

Date of Birth

Profile Image

Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels.

Username^*

Race Nick Name (to go on the racer's plate)

Team Name (If you are part of a team)

Gender^*

Male

Female

Others

Country^*

Blood Group^*

Email^*

Website

Short Bio^*

Mobile Number^*

Whatsapp Number

Passport/Citizenship Number

Passport/Citizenship

Insurarance

Facebook Profile

Instagram profile

Emergency Contact Details

Emergency Contact Number (Provide Country Code + Number). I consent POE to contact this person via this number during an emergency.^*

Emergency Contact person's Full Name

Relationship with the contact person

Medical Declarations: This section is MANDATORY for all participants to fill up diligently

Height

Weight

When did you last check your blood pressure?

Do you ever feel faint, dizzy or lose balance during physical activity/exercise?^*

Yes

No

Medical History: Current or Past Occurences

Has your medical practitioner ever told you that you have a heart condition, or have you ever suffered a stroke?^*

Yes

No

Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise?^*

Yes

No

Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?^*

Yes

No

If you have diabetes (type 1 or 2), have you had trouble controlling your blood sugar (glucose) in the last 3 months?^*

Yes

No

Do you have any other conditions that may require special consideration for you to partake in a race?^*

Yes

No

IF YOU ANSWERED ‘YES’ to any of the 6 questions, please seek guidance from an appropriate health professional or medical practitioner before participating in the race.

Details of your Regular Medications / Drugs / Supplements

Any special dietary requirements

Flight Details (For people outside Nepal)

Date of Arrival to Kathmandu

Arrival Time to KTM

Flight Number (Arrival to KTM)

Date of Departure from Kathmandu

Departure time from KTM

Flight Number (Departure from KTM)

Race Highlights

100

PARTICIPANTS

4

Stages

1

RACE DAY

Pokhara Enduro Race - Come.Play.And.Have.Fun

contact info

Arba, Pokhara Ward 13

+6596271457

pokharaenduro@gmail.com

recent blog

Pokhara Enduro New Trails New Thrills

Rama and Laxmi hog limelight as maiden Pokhara Enduro race concludes

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