Register as an Individual | Everesting For Second Chances

Challenge Details

My Challenge Category *

My Challenge Type *

Account Details

My Email Address (Your Login ID) *

Make sure your email address is correct. Event updates and instructions will also be sent there.

Confirm Email Address *

My Account Password *

Confirm Account Password *

My Account Display Name *

My Account Tagline

My Preferred T-Shirt Size *

Click here to view size chart.

My Display 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.

My Target Fundraising Amount *

Please indicate the amount (SGD) *

$ .00

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

Please specify *

Personal Information

Full Name (as per NRIC/FIN/Passport No.) *

Mobile Number *

Date of Birth *

Sex *

Collection / Delivery of Entitlements

*Method for collection of the entitlements

Country

Postal Code *

Building Number *

Unit Number *

#

Please indicate NA if there is no unit number.

Street Name *

Building Name

Enter Promo/Corporate Code (If any)

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

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.

Parental/Guardian Consent

I, the parent/guardian of the participant, has 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.

Parent/Guardian's Name *

Parent/Guardian's Contact Number *

Terms and Conditions & PDPA Consent

Terms and Conditions *

I have read and agree with the above stipulated Terms and Conditions.

PDPA Consent *

I consent to and allow the Organiser to collect, use, disclose and/or process my personal data in order to process, administer, facilitate, maintain and/or manage my relationship with the Organiser as a member, volunteer, programme participant, beneficiary and/or donor (“Purpose”), including communications on the Organiser’s activities, programmes and services; donation requests; carrying out research, analysis and development activities for the Organiser’s purposes; and making disclosures required by law or a competent authority. The Organiser 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).

In any event, I acknowledge that the Organiser may send communications on its activities, programmes and services to me via email and/or post.

If I do not wish to receive such communications via email and/or post, or if I wish to make changes to consent previously given, I understand that I may opt out by writing to the following email address everesting@hcsa.org.sg.

Registration Form