# RIDER NAME CATEGORY JERSEY SIZE TSHIRT SIZE

 


Participant Info

Team Name  :  *No apostrophe¬† ( ' ) allowed
Full Name  :  *No apostrophe¬† ( ' ) allowed
NRIC / Passport  :  *No dash (-) and space
Team Leader Email Address  : 
Team Leader Mobile No  :  *Emergency Purpose
Event Info
Category  : 

35KM FUN-RIDE

T-Shirt Size (choose either tshirt or jersey)  : 
Jersey Size (choose either tshirt or jersey)  : 

I certify that I am physically fit, have sufficiently trained for participation in this event and have not been advised otherwise by a qualified medical person. In consideration of my application on this event, I hereby to waive, release and discharge from any and all liability to organiser for any incidents accrue to me. I understand that this event may be photographed and agreed to allow my photos to be used by event organisers for any legitimate purposes.