Online Registration

THANK YOU for your interest to join us in The Dandelion Ride, a 30km ride, to help raise funds for HCA Hospice Care.

Sign up is FREE! Garner donations through your network to raise $530 and qualify for the ride!

Before you register, please take some time to go through the Event Details.

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

Category Details
Individual    New Group    Existing Group

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

Separate each email by a comma.

Personal Details

Participants under the age of 18, kindly write into TheDandelionRide@hcahospicecare.org.sg to make a request, thank you for your understanding.

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

Medical Declaration

No    Medical Conditions    Drug Allergies    Both

By selecting No, I declare that I do not have any known medical condition that will prevent me from taking part from this event.

For multiple medical conditions, please use 1 line per condition.

For multiple allergies, please use 1 line per allergy.

Emergency Contact

Rules and Regulations

Indemnity

Consent

By clicking on 'SUBMIT' below, I consent to HCA Hospice Care collecting and using personal data about me in this online registration form for the purposes of HCA Hospice Care organising and carrying out the The Dandelion Ride event, including arranging for the safety of riders and promoting the event for fundraising purposes.

I consent to HCA’s collection, disclosure and use of my personal data for official purposes and in accordance with HCA’s data protection policy (including HCA’s personal data act notification), the Personal Data Protection Act 2012 and any other relevant legal or regulatory requirements.

Further information on HCA’s data protection policy, including how to access or correct personal data or withdraw consent to the collection, use or disclosure of personal data is available at https://hca.org.sg/Privacy-Policy.

If you do not wish us to send the information to you, please send an email to TheDandelionRide@hcahospicecare.org.sg with subject: The Dandelion Ride and ask us to remove you from our mailing list. Please include your name and NRIC/FIN/ID No in the email.