Anand Cycling Club Registration Form
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Name *
Phone number (Whatsapp) *
E-Mail ID *
Address *
Date of Birth *
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/
DD
/
YYYY
Blood Group *
Emergency Contact Number *
How Many Kilometers are you willing to ride in a week? *
How frequently are you willing to ride? *
Which Cycle do you ride? *
Any Health Issues or Medical Problems? *
Events you wish us to conduct?
Submit
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