Please complete this form to sign up for a chance to join the NB All-Star Mile 2022.
Participant Information
Full Name
Please enter your full name.
As per NRIC/FIN
NRIC/FIN/Student ID Number
Please enter your NRIC/FIN/Student ID number.
Last three digits + last alphabet
Select Residential Status
Singapore Citizen
Singapore PR
Foreigner
Residential Status
Please select residential status.
Select sex
Male
Female
Sex
Please enter sex.
Date of Birth (DD-MM-YYYY)
Please enter your date of birth.
Email Address
Please enter your email address.
Please enter a valid email address.
The email address you provide here will be used to notify you of the application outcome, or to ask for more information and documents for our verification. Please provide accurately.
Contact Number
Please enter your contact no.
Emergency Contact Name
Please enter your emergency contact name.
Emergency Contact Mobile Number
Please enter your emergency contact mobile number.
Select Emergency Contact Relationship
Grandparent
Guardian
Other Family Member
Non-Family Member
Parent
Sibling
Emergency Contact Relationship
Please enter your emergency contact relationship.
Medical Condition (if any)
Please enter Medical Condition (if any)
If not applicable, please enter NIL.
Please enter Name of Organisation/Educational Institution (if any)
Name of Organisation/Educational Institution (if any)
If not applicable, please enter NA.
CCA Club/Society (if any)
Please enter CCA Club/Society (if any)
If not applicable, please enter NA.
Instagram Handle (if any)
Please enter Instagram Handle (if any)
If not applicable, please enter NA.
Select Race T-Shirt Size
XS
S
M
L
T-shirt Size
Please select T-shirt size.
Select Shoe Size
7
7.5
8
8.5
9
9.5
10
10.5
11
Shoe Size (US)
Please enter shoe size.
Select Shoe Size
5
5.5
6
6.5
7
7.5
8
8.5
9
Shoe Size (US)
Please enter shoe size.
Time Trial Result
Date of Time Trial (DD-MM-YYYY)
Please enter date of time trial.
Time
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
MM
Please enter minutes.
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
SS
Please enter seconds.
Average Pace
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
MM
Please enter minutes.
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
SS
Please enter seconds.
Per Mile
Per Mile
Please enter mesurement.
Screenshot
Please upload screenshot .
Accepted file types are .jpeg, .jpg and .png. Max file size 2MB.
By submitting this form, you agree and consent that New Balance, and/or any third party acting on behalf of New Balance, may collect, use and disclose your personal data, as provided in this form, in accordance with the Personal Data Protection Act, for the purposes of administering the entry process and in relation to your participation in the NB All-Star Mile 2022.
Please see our Privacy Policy for further details on our data protection policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.
I want to double my chances at getting a place in the NB All-Star Mile 2022, and please submit my application for the public entry too.