Break The Chain 2026

Break the Chain is a community cyclothon organised as part of National Road Safety Month.

Core Participant Information

Full Name

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Age

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Phone Number

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Ride & Participation Details

If Yes, Name of the group/club ?

Rental bicycles are limited and will be allotted on a first-come, first-served basis. Rental charges will be communicated separately. Helmets are mandatory and must be arranged by participants unless specified.

Safety & Emergency Information

Emergency Contact Name

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Relationship

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Emergency Contact Number

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If Yes, please specify

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Blood Group

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You agree to wear a helmet during the ride

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You agree to follow marshal instructions and safety protocols

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Consent & Waivers

I confirm that I am physically fit to participate

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I understand that cycling is a physical activity and participate at my own risk

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I consent to photography/video recording for non-commercial awareness purposes

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ROAD SAFETY PLEDGE

“I pledge to follow road safety rules, wear protective gear, respect fellow road users, and promote safe mobility beyond this event.”

I take the Road Safety Pledge

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