Run For Autism Registration Form

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This is the registration form to take part in the "Run For Autism" event on Saturday April 27th - 9:00AM-1:00pm at the Exhibition World Bahrain in Sakhir.

Email *

First Name *

Last Name *

Email *

Phone Number *

Birth Date *

YYYY

Gender *

Female

Male

T-Shirt Size *

Y 2x Small 4-6 Years Old

Yx Small 7-9 Years Old

Y small 10-12 Years Old

Y Medium 13-15 Years

Small

Medium

Large

X-Large

XX-Large

Other:

I would like to register for *

Boys & Girls (5BD). 4-6 years 200M

Boys & Girls (5BD). 7-9 years 300M

Boys & Girls (5BD). 10-12 years 400M

Boys & Girls (5BD)13-15 years 600M

SEN (Free) 7-13 years 600M

SEN (Free) +14 years 800M

Ladies (BD10) +16 years 2KM

Run for autism

Payment link (Credit/Debit Card) / Payment Link

https://childbehavior.khairplus.com/en/item/1710508839/list

Payment Via Benefit

IBAN NO.

BH30ABIB01010200770661

Send payment screen shot with the name and CPR of the registered individual to :

director@childbehavior.org

A copy of your responses will be emailed to the address you provided.

Submit

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