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Brake The Chain Bike Rally
2026
Brake the Chain is a community cyclothon and rally organised as part of National Road Safety Month.
Core Participant Information
Full Name
*
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Age
*
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Gender
*
Select an option
Male
Female
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Phone Number
*
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Email
*
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Participation Details
Riding Experience Level
*
Select an option
Beginner
Intermediate
Expert
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Are you part of a riding group/club ?
*
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No
Yes
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If Yes, Name of the group/club ?
T-Shirt size
*
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M
L
XL
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Emergency Information
Emergency Contact Name
*
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Relationship
*
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Emergency Contact Number
*
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Do you have any medical condition the organisers should be aware of ?
*
Select an option
No
Yes
This field is required.
If Yes, please specify
Blood Group
*
This field is required.
You agree to wear a helmet during the ride
*
This field is required.
You agree to follow marshal instructions and safety protocols
*
This field is required.
Waivers
I confirm that I am physically fit to participate
*
This field is required.
I understand that riding is an outdoor activity and participate at my own risk
*
This field is required.
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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