Road to Give 2025

General Participant Registration

🏁 Race Selection

Run Category 5K - Competition - Rp 350.000 2K - Fun Run - Rp 200.000 Kids Fun Run - Rp 100.000

👤 Participant Details

Identification Number (KTP/KITAS/PASSPORT)

Full Name

Sex

Birthdate

Phone Number

Email Address

Blood Type

Existing Medical Conditions (optional)

🏠 Address

Province

Regency / City

District

Sub-district / Village

Current Address

📦 Race Logistics

T-Shirt Size

Bib Name (optional)

Team/Community Name (optional)

🚨 Emergency Contact

Name

Relationship

Phone

I confirm that all that register is in good health to participate in this event. I and all the register here agree to the Terms and Conditions and acknowledge the risks. The committee is not responsible for any injury or accident.