FPJ-CUP-2024-FORMS (2)
FPJ-CUP-2024-FORMS (2)
ENTRY FORM
Team/Barangay:________________
10
11
12
13
14
15
___________________________
Coach
Approved by:
___________________________
Brgy. Captain
FPJ CUP 2024 - BASKETBALL LEAGUE
WAIVER OF LIABILITY
I, ____________________________________________________________single/married,
a resident of ______________________________, do hereby execute this waiver of liability:
1. I voluntarily join the tournament without any pressure, intimidation, or threat of any kind
from anyone or any reason.
2. I will abide by the rules and regulations set forth by the organizing committee.
3. I shall not hold the organizing committee nor any of its members liable and accept full
accountability for any and all damage or injury that I may cause to anyone, or any injuries
that I may suffer due to my own fault or negligence or through accident or through the act of
another, while playing in the tournament.
4. I shall not hold the organizing committee nor any of its members from any or all liabilities,
criminal, civil, administrative or otherwise, with respect to any injury or damage I may receive
while playing in the tournament.
5. This waiver was executed by myself, personally, freely and voluntarily with full knowledge
of the effects thereof.
______________________________
SIGNATURE OVER PRINTED NAME
____________________________
DATE
Name:____________________________________
Relationship:_______________________________
Complete Address:___________________________
Contact #: _________________________________
1x1
Picture
Name of Player:__________________________
Complete Address:_______________________
Contact Number:_________________________
Jersey Number:__________________________
LIST OF REQUIREMENTS: