Rewheelution Students' Cycling Fest
Please note
- Registration is a two step process. Do choose your payment mode, complete the transaction and fill the form for confirmation of registration.
- On submission of the form, you will receive a confirmation email with the event information within one business day
- Registrants will have to bring their own bikes
- Safety is paramount and helmet is mandatory. No helmet, no ride rule applies.
- In case of any challenges with the registration, do email us at trysportsindia@gmail.com
Registration Payment Options
Registration Charges - INR 400/- per entry
• Payment Option - NEFT/IMPS
• Account Holders Name - Deepak Samuel SM
• Bank - HDFC, IFSC - HDFC0000444‎
• Account Number - 04441610003765
• Type - Savings
• Outlet Payment
• Registration Location - Heini Sports Store
• Address - Heini Store, 34/1, First Corss (Near Welcome Hotel), West Club Road. Coimbatore - 641018
• Phone Number - (0422) 4512123
Rider Information
1. Name of the rider *
Your answer
2. Rider date of birth *
Proof of age to be furnished while BIB collection. School ID would be perfect
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3. Blood group of the rider *
4. Gender *
5. Rider contact number *
Your answer
6. Email address *
Your answer
7. Emergency contact person name *
Your answer
8. Emergency contact person number (Should not be the same as Rider contact number) *
Your answer
9. Does the participant have any medical condition that the organizers should be aware of? Please specify.
Your answer
10. Name of the School or Educational Institution *
Your answer
Payment Information
11. Payment Mode *
12. Transaction reference number/Receipt Number *
Your answer
13. Payment Date *
MM
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DD
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YYYY
14. I agree to sign the Accident Waiver and Release of Liability form at the bib collection counter. *
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