Registration | Walk With Me 2024

Choose Your Category *

Physical Event

Virtual Walk

Account Details

Join As *

Enter Promo/Corporate Code (If any)

Tip: Promo/Corporate codes are issued by HCA Hospice. Do email to walkwithme@hcahospicecare.org.sg if you face any issues using your promo code.

Team Code of the Team you are joining *

Tip: Get the team code from your Team Leader.

Team Name which you are joining *

Create a Team Name *

Create a Team Tagline

Team Photo

Upload the photo in JPG or JPEG format with a maximum size of 8MB size. The recommended ratio is 1:1 with minimum image width and height of 250px by 250px.
Note that uploaded image will be automatically square cropped.

Registration Fee *

$

Acknowledgement *

I acknowledge that I am at least 18 years of age and physically fit to participate in the event. If I am under 18 years of age, my parent/legal guardian has been informed about my participation in the event and has given consent for me to register for the event.

Create Your Walk With Me Profile

My Profile Display Name (Your Login ID) *

No change is allowed after submission.

My Profile Tagline

My Profile Password *

Confirm Password *

My Display Photo

Upload the photo in JPG or JPEG format with a maximum size of 8MB size. The recommended ratio is 1:1 with minimum image width and height of 250px by 250px.
Note that uploaded image will be automatically square cropped.

My Target Fundraising Amount *

Please indicate the amount (SGD) *

$ .00

My Preferred T-Shirt Size *

Note: Sizes run smaller than usual. To choose the right size for you, we recommend that you refer to the size chart before confirming registration.

Click here to view size chart.

My words of encouragement for HCA patients/staff/fellow walkers

I got to know about this event through... *

Please specify *

Your Personal Particulars

Full Name (as per NRIC/FIN/Passport No.) *

Mobile Number *

Email Address *

Make sure your email address is correct. Event updates and instructions will also be sent there.

Confirm Email Address *

Date of Birth *

Gender *

Medical History

Blood Group *

Allergies to any medications (If any)

Current or past medical conditions that our medical personnel should be aware of (If any)

Emergency Contact

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Mobile Number *

Communications *

To guarantee that you have all the essential information for the Walk, we will be keeping you updated via email, so do check your inbox. In the event of extreme wet weather, we may also update you via SMS.

I have read and understood

If you would like to receive future updates on HCA events and initiatives, please consider joining our mailing list:

Please add me to your mailing list for future HCA updates (non-walk related)

Health Declaration *

I do not have any medical conditions that would affect my safety or physical wellbeing. I am medically and physically fit and competent to participate in the Event. I fully understand and acknowledge the risks involved in my participation in the Event and I accept full responsibility and agree to solely assume all such risks.

Terms and Conditions *

I agree with the stipulated Terms and Conditions.

Indemnity *

I agree with the stipulated Indemnity.

PDPA Consent *

By continuing to use the Organiser's services relating to the Event, accessing any part of the Official Website, registering for the Event, submitting information to the Organiser (and/or its related entities) whether for the purpose of registering for the Event, pledging a donation or otherwise in relation to the Event, and in addition to the personal data protection consent having been executed by the Participant, the Participant expressly agrees and consents to the Organiser's (including its related entities, as well as their respective agents') collection, use and disclosure of his/her personal data for all and any purposes relating to the Event, including but not limited to the following:

to collect, analyse, collate, share, disclose to third parties, and/or otherwise use without any liability to the individual, any personal information relating to that Participant as the Organiser may in its sole discretion deem fit, including without any limitation, for Event registration, administration, management and follow up, and for its programmes, planning, data- processing, and statistical or risk-analysis, research, fundraising and/or any other purposes relating to the Event.
to post the total funds raised through the Participant on the Official Website of the Organiser or on all and any other physical or electronic media whatsoever, now known or later developed;
to use any photographs, motion pictures, recordings, or any other records of the Event and of the Participants, Participants' supporters, sponsors, volunteers, and partners (“Participant Media”), for any legitimate purpose, including commercial advertising and distribution to Event sponsors.

Payment Mode*

Registration Form

Thank you for your interest in joining HCA Hospice – Walk With Me 2024!