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March of Inclusion - Rally Registration
Basic Information
Full Name
Age
Gender
Select
Male
Female
Other
Prefer not to say
Phone Number
Email Address
(optional)
City / Town
Participation Type
Person with Disability (PwD)
Volunteer
Caregiver / Assistant
Representative from Organization
Organization
Are you associated with any organization / institution?
Additional Information
T-Shirt Size
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XS
S
M
L
XL
XXL
XXXL
Emergency Contact Name & Number
Any Allergies / Medical Conditions?
Upload Passport Size Photo
(Click to select an image)
I agree to participate voluntarily and follow the rally guidelines. I authorize the use of photographs/videos taken during the event.
Submit Registration