Register: Walk the Talk: The Health for All Challenge 

1) First Name: *  
2) Last Name: *  
3) Gender: *
4) Age: *
5) Organisation: *
(You can also be an Athlete or Individual)
 
6) Do you plan to enter as a team? *
7) If Yes, please enter your Team Name
8) Route preference *   Click here to view route map >>
9) T-Shirt Size: *
10) Email *    
11) Telephone *    
12) Do you have any medical condition that require special attention ?       
13) If yes, please state it
14) Disclaimer : Click here to read Terms and Condition >>