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

Lord of the Bikes: The Fellowship of the Rides

Registration Form
Name*

PrefixGiven NameSurname
Mobile*
Email*

Confirmation Emailexample@example.com
Saturday, 28 March 2026Saturday, 25 April 2026
YesNo
YesNo
Yes, I am a guestNo, I am from WesleyOther
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.
ParentSpouseChildOther
I,Given Name* Surname* hereby agree to participate in the cycling activity organized by Sports & Wellness Ministry of Wesley Methodist Church on Date*
I/we agree that Sports & Wellness Ministry and/or organizers will not be liable for any injury, mishap or accident that may occur to me/we, knowing that the organizers will exercise utmost care and responsibility during the period of the activity.In the event that I/we suffer loss; including injury, deprivation, death or inconvenience during the period of the activity from persons, forces or events outside the legitimate direction or control of Wesley Methodist Church, I/we will make no claim or lawsuit against Wesley Methodist Church or any of its members.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*

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Date*

DayMonthYear
Date
NRIC/FIN/Passport No. (Last 4 characters)*
By submitting this form to Wesley Methodist Church (“WMC”), I give my consent for WMC to process the personal data I have provided for the purpose of Sports and Wellness Ministry Lord of the Bikes activities, and church programmes and services. I also confirm that the information provided is true and accurate to the best of my knowledge.I acknowledge that photography and videography may be conducted during the Sports and Wellness Lord of the Bikes Event. I consent to WMC using my image for communication, publicity, and archival purposes, which may include both print and digital media.
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