ce_reg_form – Nigeria Fitness Challenge

Competitive Event Registration

Enter First Name *

Enter Last Name *

Enter Email *

Enter City or Town *

Enter Country *

Enter Telephone number

Gender *

Type of Competitve Event

Running

Cycling

Swimming

football

Online Competitions

Other Fitness Competitions

Competitive Running Events *

Competitive Cycling Events *

Competitive Swimming Events *

Competitive Football Events *

Online Events *

Other Fitness Events *

Type of Participant

individual

Group

Enter Type of Dance

Enter number of parfomers in group (max 5)

Enter Name of Corporate Entity

Enter your position in the Corporate Entity

I agree to the rules and regulations of the Orobo loser challenge including bullet points 15 and 21

I agree to the terms and agreement