2020 MAYOR'S CUP TOURNAMENT

SPORT

DIVISION

BARANGAY:

NAME

First NameMiddle NameLast NameSuffix

DATE OF BIRTH

Date

RESIDENTIAL ADDRESS

ZIP CODE

PLACE OF BIRTH

SEX

SCHOOL/YEAR

TELEPHONE NO.

Area CodePhone Number

CELLPHONE NO.

EMAIL ADDRESS

example@example.com

PERMANENT ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NO. OF YEARS/ MONTHS RESIDING IN THE BRGY

CITIZENSHIP

HEIGHT (m)

WEIGHT (kg)

BLOOD TYPE

MOTHER'S NAME

FATHER'S NAME

PREVIOUS PLAYING EXPERIENCE

I hereby certify this Entry Form for the 2020 Mayor's Cup Inter-Barangay Basketball & Volleyball has been accomplished by me, and is true, correct and complete statement to the best of my knowledge and ability.

Signature of Player

WAIVER

I am allowing my son/ daughter to participate in 2020 Mayor's Cup Inter-Barangay Basketball/ Volleyball Tournament. I will not hold the organizers and sponsors of this tournament liable for any accident that may happen to him/her during the tournament.

Signature of Parent/ Guardian

CERTIFICATION

I hereby certify that the Applicant/Player hereto mentioned is of the required age limit and presently residing in this Barangay for the past six (6) months and is therefore eligible to represent our barangay in the tournament stated above. I shall be held responsible for whatever penalties the tournament organizers will impose upon our barangay if the herein-identified Applicant/ Player is found to be ineligible to participate in this event.

Punong Barangay

DO NOT FILL-UP BELOW THIS LINE (FOR EVALUATOR'S USE ONLY)

REMARKS

REQUIREMENTS

Date Screened

Date

By:

MARK ANTHONY C. ADOR

CITY SPORT DEVELOPMENT OFFICE HEAD

TO BE VALID. THIS FORM MUST BE TYPE AND RECEIVED BY THE SPORTS OFFICE NOT LATER THAN FEBRUARY 28, 2020