Rider Application Form Name * Father/Spouse Name * Surname * Email * WhatsApp Contact Number * Emergency Contact Number * Age * Gender * Male Female Address * Are you willing to participate by riding a bicycle, or would you prefer to contribute as a volunteer? * Yes, I’ll ride with my own cycle Yes, I’ll ride but please arrange a cycle for me No, I want to participate as a volunteer T-Shirt Size * XS S M L XL 2XL 3XL 4XL 5XL Approximate cycling experience * Beginner Intermediate Advanced I will donate following amount. * I want to Donate ₹1,300 I want to Donate ₹1,500 I want to Donate ₹2,000 I want to Donate ₹2,500 I want to Donate ₹3,000 I want to Donate ₹5,000 I want to Donate ₹10,000 I will donate following amount. * I want to Donate ₹1,500 I want to Donate ₹2,000 I want to Donate ₹2,500 I want to Donate ₹3,000 I want to Donate ₹5,000 I want to Donate ₹10,000 I will donate following amount. * I want to Donate ₹700 I want to Donate ₹1,000 I want to Donate ₹1,500 I want to Donate ₹2,000 I want to Donate ₹2,500 I want to Donate ₹3,000 I want to Donate ₹5,000 I want to Donate ₹10,000 Have you ever been part of a cycling event before? * Yes No Terms & Conditions Cycle rally will be subject to police permission. The amount given is non refundable & will be used for the given school Incase of any cancellation or change in program we will notify on our social media platform Incase of any damage any loss or any accident occurs genuine help foundation is not responsible Yes, I have read and understood all the above details and agree to the terms and conditions. Add Remove Total Amount Next Start Over If you are human, leave this field blank.
