Cycle and Learn (Registration Form)
Date: 15 Dec 2019 | Time: 7.00 am - 10.30 am | New Trail: PWTC to Masjid Jamek

Things to note:
- Meeting point: Dataran DBKL
- There are 7 stops along the trail to learn about river conservation initiatives
- Bring your own water bottle (water stations provided)
- Bicycle and safety gears provided

*Your registration is only confirmed and reserved once commitment fee of RM 50 (full refund at the end of the activity) is made to Global Environment Centre (MBB: 512231404905). Please email your commitment fee receipt to outreach@gec.org.my
Name: *
Your answer
Email: *
Your answer
My Kad(IC)/ Passport No: *
Your answer
Hand-phone Number: *
Your answer
I would like to bring my own bicycle *
Confirmation & Indemnity
I, hereby agree not to claim any damages, court action and all claims, demands, losses, liabilities against the Organising Partners* in the event of any accident, injury, loss of property and deaths before, during and after the activity/event.I understand that the Organising Partners* will take the necessary precautions to ensure my safety during the activity. In the event of an emergency requiring immediate treatment, I hereby authorize the organizers to involve medical staff qualified to provide first aid and medical treatment or care.By signing the form, I hereby certify that I have read carefully the above statement and agree to comply with all of the above.

*Organising Partners are Global Environment Centre, Jabatan Pengairan dan Saliran (JPS) Malaysia, Kementerian Wilayah Persekutuan (KWP), Dewan Bandaraya Kuala Lumpur and Bike with Elena
Please Tick Box to Complete Registration *
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Importance notice:
Programme Agenda:

7.00 am - Registration
7.15 am - Welcoming address and safety briefing
7.30 am - Commence of Cycle and Learn
10.30 am - End

Contact person in GEC:
Ms Adelaine (adelaine@gec.org.my) (012-239 2983)
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