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

Name*

PrefixGiven NameSurname

Mobile*

Email*

Confirmation Emailexample@example.com

Are you a guest of someone from Wesley?*

Yes, I am a guestNo, I am from WesleyOther

Name of your Wesley friend*

PrefixGiven NameSurname

Mobile of your Wesley friend*

Please select*

30 November28 December30 November & 28 December

Please select (you may choose more than one)*

Saturday, 8 February 2025

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

Additional Participants

	Number
Pre-believing friends
Children under 12
Total number in group

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 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*

Date*

Date

NRIC/FIN/Passport No. (Last 4 characters)*

General Consent Statement*

Wesley Methodist Church is committed to safeguarding your personal information. In submitting this form, you agree and consent to use your information for Sports & Wellness Ministry, Church activities, programmes and services. You also agree that any information or data submitted to Wesley Methodist Church has been voluntarily provided and that it is reasonable to voluntarily provide such information.I am aware that the Sports & Wellness Ministry events associated with Wesley Methodist Church may be recorded and photographed. My presence at these events is deemed as my consent to being filmed and photographed. These may be used for communications, publicity and archival purposes, including but not limited to print and electronic media.I declare that the details furnished above are true and correct.