Rider Registration Form

Full Name

Date of Birth

Gender
MaleFemale

Address

Your email

Primary Contact Number

Emergency Contact

Blood Group
A+A-B+B-AB+AB-O+O-

Join as
Single RiderWith Pillion Rider

Bike Make

Engine CC

Bike Registration Number

I Can Volunteer
Calling up ParticipantsCampingPromoting Urban RiderzBike RepairsCookingOthers

I have read and agree to the Disclaimer below

Disclaimer - Biking/trekking involves inherent dangers including road accidents, climbing over rocks, crossing deep water streams, possible wildlife encounters. Urban Riderz and its organizers are not responsible for any accidents or injuries during the trek. Urban Riderz and Organizers are not responsible for any loss or damage to personal property. The participant agrees to take full responsibility on the above * *