Vagamon ULtrail 2024 – Foreign participants – Soles of Cochin Registration Portal

1Personal Details

2Medical Questions

3Qualification & Waiver Form

Name(Required)

First Last

Phone(Required)

✓ Valid number ✕ Invalid number

Email(Required)

Gender(Required)

Male

Female

Non Binary

Date of Birth(Required)

DD dash MM dash YYYY

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Blood Group

A+

A-

AB+

AB-

B+

B-

O+

O-

Name on BIB

Running Club you are part of

Emergency Contact Name(Required)

First

Emergency Contact Relation(Required)

Emergency Contact Number(Required)

✓ Valid number ✕ Invalid number

Do you suffer from cardiovascular disease?

Yes

Have you been advised by doctor to engage in Physical activity only under medical supervision?

Yes

Pregnant Women : Has this or any previous pregnancy been defined as being at risk?

Yes

Have you been diagnosed with asthma?

Yes

Have you lost balance due to Dizziness?

Yes

Do you suffer from Chest Pain (At Rest / Daily Activity / Physical Activity)?

Yes

Do you suffer from any chronic illness not mentioned above, which limits you from Physical activities?

Yes

Category(Required)

60K

Travel Package (Optional)(Required)

No Travel & Accommodation

Travel Package Only

Accommodation Only

Complete Travel & Accommodation Package

Travel Package is now Full. Please select “No travel & Accommodation” to continue the booking. If you need the travel package, please drop us a E-mail after registering for the run and we will put you on waitlist and give cancelled slots as and when it becomes available.

Link to timing certificates/runner profile to demonstrate your qualification to Vagamon ULtrail (races run after 01-Feb-2022)(Required)

Please Upload the first page of Liability waiver form which must be attested by a close relative or another runner participating in the race (uploading the wrong document will invalidate your entry)(Required)

Max. file size: 1 MB.

Blank Liability Waiver Form can be downloaded from here – https://storage.googleapis.com/spicecoastmarathon/Waiver%20form.pdf

Copy of ID Proof(Required)

Max. file size: 1 MB.

Total

Phone

This field is for validation purposes and should be left unchanged.