JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FARAJA Be Bold Go Gold 2023 Manual registration form
Please submit the below form, so Faraja can get your registration details
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
If registering for a child please write child's name and age
Your answer
Email Address
*
Please enter a valid email address
Your answer
Which event will you (or your child) be participating in?
*
5KM
10KM
21KM
Select T-Shirt Size
*
Choose
4 years 70-75cm
6 years 75-80cm
8 years 80-85cm
10 years 85-90cm
12 years 90-95cm
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Your t-shirt will be collected from the event location, on the day of event
*
EVENT LOCATION: KALRO GROUNDS MUGUGA
Your Phone Number
*
Enter your valid phone number below
Your answer
MPESA CONFIRMATION MESSAGE
*
Please copy the mpesa confirmation message below
Your answer
Participant's or Guardian's(in case of a minor) Phone Number
*
Enter a valid phone number
Your answer
Next of Kin/ Emergency Contact Name
*
Your answer
Registering for a child or an adult?
*
Choose
Adult
Child
Gender
*
Choose
Male
Female
Rather Not say
How did you hear about the event?
*
Social Media
Website
School
Friend
Radio
Televsion
Other:
Age (Optional)
Your answer
School (Optional)
Your answer
Corporate Name (Optional)
Your answer
Team Name (Optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Granular IT.
Report Abuse
Forms
