Participant's Full Name*
Participant's Family Member's Full Name*
We have read and understand the information regarding this event and understand that We participate in this event at my own risk. We are aware of the fact that participation for MUMBAI ULTRA requires optimum conditioning of the body as well as mind and structured training. We hereby attest and verify that the participant is physically fit and have sufficiently trained for this event. We understand that competing in this event may involve running and walking on the road with moving vehicles traffic. The hazards may include but are not limited to; challenging
terrain, motor vehicle traffic, slippery surfaces, weather conditions, heat exhaustion, hypothermia, actions of spectators, other competitors, general public and the event organizers personnel. We agree to comply with the rules and directions of event officials and their personnel. We hereby allow the use of the participant’s name and image to be used in the media and for marketing purposes. We hereby agree that in the case of event cancellation due to extreme inclement weather (at the discretion of event officials), We shall not hold any persons, corporations, associations and bodies involved or otherwise engaged in promoting or staging the event and their servants, agents, representatives, officers and employees for such cancellation. We hereby acknowledge this waiver, release and indemnity discharge all persons, corporations, associations and bodies involved or otherwise engaged in promoting or staging the event and their servants, agents, representatives, officers and employees. This includes but is not limited to the various committees, members, and employees of all independent contracted suppliers to the event, local councils, cities and districts and their respective officers, directors, employees, independent contractors, representatives, agents, volunteers, event organizers and sponsors whether or not the loss, injury or damage is attributed to the act or neglect of any or more of them.
Mobile Number for Foreign Nationals*
Date Of Birth*
Name of the Running Group
Emergency Contact Name*
Emergency Contact Number*
Emergency Contact Number for Foreign Nationals*
T - Shirt Size* Select from drop downSmallMediumLargeExtra Large
PAN Card Number*
Eligibility Criteria: Runner must have completed one marathon race.
Upload Your Timing Certificate*
Please Note: You will be disqualified if you provide us the wrong certificate.
Family Member's Name*
Family Member's Email ID*
Family Member's Mobile Number*
Family Member's Mobile Number for Foreign Nationals*
Family Member's Address*
Upload your relatives photo copy (jpg image- 500 kb)*
If yes, please mention*
If yes, please provide details in the comment below*
If yes, kindly provide us the details*
If yes, kindly enter details of any medication / treatment you are under, in the comment below*
Name of your Family Doctor*
Contact Number of Family Doctor*
Contact Number of Family Doctor (Foreign National)*
Upload your photo id (Drivers License / Passport / Pancard / card that displays the Photo / Date of Birth - jpg image- 500 kb)*
Upload your Address Proof - (Drivers License / Passport / Utility Bill / card that displays the Address - jpg image) (Max.500kb)*
Upload your scanned photo copy*
Upload your physical signature*
The signature needs to be hand-signed and not signed digitally (i.e., digital signature). The hand-signed signature shall be treated as your personal signature)
If yes, upload a scanned copy of the cheque and post to the YouTooCanRun Office*
Cheque should be in favour of “TATA MEMORIAL HOSPITAL A/C No 2554”
Minimum amount should be Rs.1500/-
Cheque should be current dated.
The participant needs to be scan the cheque or click a picture and upload on the website itself. Format can be pdf or jpg.
Confirmation of registration is subject to realisation of cheque.
The participant needs to send the cheque to our office by or before 15th June 2019.(Address: 3A, Valmiki Apartments, Behind Kalina Municipal School, Beside Bombay College of Pharmacy, Kalina. Santacruz East , Phone: 022 2665 1520)
If the participant fails to send the cheque or writes improper name or sends the cheque with lesser amount then his registration wont be considered.
The 80G certificate shall be issued directly by the Tata Memorial Hospital.
The participant needs to write following things on back of the cheque –
His Address & Mobile No
His registration ticket no.
My Total Donation*