Online Registration | Care Corner Uplift For Life 2024

Registration Form

Thank you for your interest in joining Uplift For Life Ruckathon 2024.
Before you register, please take some time to go through the info.

Please fill in your details in the following form.
Required fields are denoted by *.

Join us as a/an *

Individual
New Member of an Existing Team
Team Leader of a New Team

Enter Promo/Corporate Code (If any)

Tip: Promo/Corporate Codes are issued by Event Organiser.

Team Code of the Team you are joining *

Tip: Get the team code from your Team Leader.

Team Name which you are joining *

Create a Team Name *

Create a Team Tagline

Message must be less than 200 characters.

Team Photo

Upload the photo in JPG or JPEG format with a maximum size of 8MB size. The recommended ratio is 1:1 with minimum image width and height of 250px by 250px.
Note that uploaded image will be automatically square cropped.

Account Details

My Email Address (Your Login ID) *

Each email can only be used once.

Confirm Email Address *

My Account Password *

Confirm Account Password *

My Account Display Name *

Share with your supporters why you are fundraising for Uplift For Life 2024

Message must be less than /200 characters.

My Display Photo

My Target Fundraising Amount *

Set a target for yourself.

Please indicate the amount (SGD) *

$ .00

I got to know about this event through... *

Please specify *

Personal Particulars

Name (as per NRIC/FIN/Passport) *

Partial NRIC/FIN No. (Last 4 characters e.g. 123A) *

I do not have NRIC/FIN. This is my last 4 characters of Passport number.

Mobile Number *

Date of Birth *

Sex *

Medical History

Blood Group *

Allergies (If any)

Medical Conditions (If any)

*This would be printed at the back of your bib for medical personnel to note in case of emergency.

Emergency Contact

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Mobile Number *

Parental/Guardian Consent

I, the parent/guardian of the participant, have read the rules and regulations of the event and allow the participant to sign up and take part in this event. I shall not hold the organiser, its officers, staff, volunteers, agents, contractors, event officials, event sponsors and event partners from all and any demands, claims, liabilities, proceedings, suits, losses and/or damages of any kind whatsoever arising out of or in connection with his/her participation in the event, including without limitation, personal injury and/or death.

I am aware that my child/ward has to be accompanied by an adult aged 18 years old and above who qualifies for the Ruckathon.

Parent/Guardian's Name *

Parent/Guardian's Contact Number *

Health Declaration

I do not have any medical condition that would affect my safety or physical wellbeing. I am medically and physically fit and competent to participate in the Event. I fully understand and acknowledge the risks involved in my participation in the Event and I accept full responsibility and agree to solely assume all such risks.

Rules and Regulations

I have read and agree with the stipulated Rules and Regulations (including the FAQs).

PDPA Consent

I consent to and allow Care Corner Singapore to collect, use, disclose and/or process my personal data in order to process, administer, facilitate, maintain and/or manage my relationship with Care Corner Singapore as a donor (“Purpose”), including communications on Care Corner Singapore’ activities, programmes and services; donation requests; carrying out research, analysis and development activities for Care Corner Singapore’ purposes; and making disclosures required by law or a competent authority. Care Corner Singapore may, for the above Purpose, disclose my personal data to its third party service providers and/or agents, which may be sited outside of Singapore (subject always to requirements under applicable law having been met).

I agree that Care Corner Singapore and/or its partners, affiliates, subsidiaries, agencies and contractors may send to me marketing/promotional material regarding the Event and any future editions of the Event by email or post.

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Registration Form

Join Care Corner Uplift For Life 2024 now!