Individual Sign Up | Uplift For Life Ruckathon 2026

Personal Information

Full Name *

Mobile Number *

Date of Birth *

Gender *

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 Care Corner Singapore, 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.

Parent/Guardian's Name *

Parent/Guardian's Contact Number *

Personal Login Profile

Email Address *

Each email can only be used once.

Confirm Email Address *

Password *

Confirm Password *

Profile Display Name *

This is the name that will appear on your profile and be visible to others.

Profile 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.

Fundraising Goal *

Set your personal fundraising goal and rally friends and family to support you for a meaningful cause!

Indicate Amount (SGD) *

$ .00

I got to know about this event through...

Please specify *

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. *

Blood Group *

Medical Conditions

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

Emergency Contact Information

Name *

Relationship *

Contact Number *

Donation

Donate to *

Care Corner Singapore Ltd
(In support of Children, Youths, Families, and Mental Health & Counselling)
Care Corner Seniors Services Ltd
(In support of Seniors)

I would like to contribute more (on top of my entry donation)

$ .00

Additional donations of $68 and above will enable you to choose an available bib number.

Bib Number

Number starts from 1 to 9999.

Donation Method *

Enter Promo/Corporate Code (If any)

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

Do you wish to receive tax deduction? *

Yes
No

Full NRIC/FIN Number *

A valid NRIC/FIN is required to claim tax deduction on your donation.

Full Company UEN/ASGD/ITR Number *

A valid UEN/ASGD/ITR is required to claim tax deduction on your donation.

Terms and Conditions & PDPA Consent

Terms and Conditions *

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 and event participant (“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).

Confirmation

Individual

Registration Form

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