Lord of the Bikes: The Fellowship of the Rides Registration Form

Lord of the Bikes: The Fellowship of the Rides

Registration Form
🗓️ Dates: Last Saturdays of the Month

🕗 Time: 8.30am-12noon

📍 Meeting Point: Bike stands in front of The Coffee Bean & Tea Leaf, Marine Cove
🛣️ Route: Marine Cove > Art Science Museum > Marine Cove (for kopi and fellowship); ~9km each way
Name

PrefixGiven NameSurname
Mobile
Email

Confirmation Emailexample@example.com
Please select (you may choose more than one)
Is this the first time you are joining Lord of the Bikes?
Cycled before?
Are you a guest of someone from Wesley?

Other
Name of your Wesley friend

PrefixGiven NameSurname
Mobile of your Wesley friend
Add more participants?
2nd Participant's Name

PrefixGiven NameSurname
Relationship
Add more participants?
3rd Participant's Name

PrefixGiven NameSurname
Relationship
Add more participants?
4th Participant's Name

PrefixGiven NameSurname
Relationship
Name of Emergency Contact

First NameLast Name
Mobile of Emergency Contact
Please enter a valid phone number.Format: 00000000.
Relationship of Emergency Contact

Other
I,Given Name* Surname* hereby agree to participate in the cycling activity organized by Sports & Wellness Ministry of Wesley Methodist Church on Date*
Indemnity Form

I/we shall indemnify Wesley Methodist Church and keep Wesley Methodist Church fully indemnified against all claims, demands, actions, suits, proceedings, orders, damages, and legal costs on a full indemnity basis of solicitor-client nature and other costs and expenses which Wesley Methodist Church may incur or suffer in connection therewith and/or in connection with any deed, act, omission or fault of mine/our or by me/we during the activity.
Signature
Date

DayMonthYear
Date
NRIC/FIN/Passport No. (Last 4 characters)
General Consent Statement
Should be Empty: