Group or Individual* Individual Existing Group New Group
Group ID*
Category*
Name (as in NRIC / FIN / Passport)*
Display Name*
Photo*

Upload Photo in JPG or JPEG format with below 5MB (5120KB) size only.
Preferably to upload a photo with 1:1 ratio with maximum image width and height of 500px by 500px respectively.
All photos will be automatically square cropped.

NRIC / FIN / Passport*
Birthday (optional)
Blood Group (optional)
Gender (optional)
Mobile Number*
Email Address*
Mailing Address*
Postal Code*
Country*
Reason to participate*
T Shirt Size*
Medical Declaration* No Medical Conditions Drug Allergies Both
Medical Conditions (optional)
Drug Allergies (optional)
Emergency Contact*
Emergency Relationship*
Emergency Number*
Rules and Regulation*

General

  1. By completing and submitting the registration form, you signify your agreement to accept and abide by the Rules and Regulations as stated by the Organiser, Autism Resource Centre (Singapore).
  2. Reasonable precaution to protect the safety of all participants would be taken by the Organiser but the Organiser shall not be liable for any bodily injuries, loss and/or damage to property, whether personal or otherwise, and howsoever arising.
  3. By signing up, all participants would be paying for a registration fee and start raising donations in support of Autism Resource Centre (Singapore).
  4. All monetary donations raised from this event will be directed to Autism Resource Centre (Singapore). These will include any funds raised by participants who do not participate in the event on the actual day.
  5. The Organiser reserves the right to use the photos or videos for any future promotional purposes related to the event in future years.
  6. The Organiser reserves the right to cancel the event at any time and shall not be liable for any consequential loss or inconvenience caused. All monetary donations received will still be directed to Autism Resource Centre (Singapore).
  7. The Organiser reserves the right to amend run and walk routes as it deems fit for the safety of the participants to prevent any potential hazards, and shall not be liable for any loss or inconvenience caused by such changes.

Medical Advisory

  1. All participants are responsible for their own safety and physical condition, and should seek professional medical clearance before registering for the event.
  2. Participants should cease and seek immediate medical attention from the medical team should they feel unwell during the course of event.
  3. The Organiser reserves the right to deny any participants from continuing if they appear to be physically incapable of completing the event.

Wet Weather Advisory

  1. In the event of wet weather, the Organiser reserves the right to amend the schedule or cancel the event.
  2. If the event is cancelled due to wet weather, all monetary donations collected will still be directed to Autism Resource Centre (Singapore).
  3. Amendment of Registration Details

  4. Please email your request to avsw@autism.org.sg. Deadline for all amendments to be made by 21 July 2018. Kindly ensure that you get an acknowledgement reply from the Organiser.
  5. Withdrawal from Event

  6. Please email your request to avsw@autism.org.sg. Deadline for all withdrawals should be made by 21 July 2018. Kindly ensure that you get an acknowledgement reply from the Organiser. Please note that all registration fee and monetary donations collected will still be directed to Autism Resource Centre (Singapore).
Agree to indemnity*

In consideration of being allowed to participate in “A Very Special Walk” held on 28 July 2018, I acknowledge and agree that:

  1. I am in a good physical health and believe that I am able to complete the event.
  2. The risk of injury from the participation in the A Very Special Walk Event exists, including but not limited to the potential for permanent paralysis and death, health risks, contact with other participants and the impact of weather
  3. I have read and agree to abide by all the Rules and Regulations of the event, including any amendments to such rules and regulations that are in effect during the event. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such hazards to the attention of the Organiser of A Very Special Walk immediately; and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next-of-kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Organiser of the event, WITH RESPECT TO ANY AND ALL PERSONAL INJURY, DISABILITY, DEATH or loss or damage to person(s) or property associated with my presence or participation in the event , to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Consent*

By clicking on 'SUBMIT' below, I consent to Autism Resource Centre (Singapore), collecting and using personal data about me in this online registration form for the purposes of organising and carrying out the event, including arranging for the safety of participants and promoting the event for fundraising purposes.

Survey (optional)

Question 1: How did you get to know about “A Very Special Walk 2018” Event?

Question 2: Others, please specify

All participants are encouraged to fill in all fields for medical emergencies purposes.