T-SHIRT LAYOUT: AVAILABLE AT CAMPUS ART, PERFECT STROKE, 3D ADVERTISING,IDENTITEE AND IMAGE EDITOR .
REGISTRATION FORM
11:14 PM
007
TREE GROWING FESTIVAL
June 29, 2012
QUEZON MOUNTAIN RANGE, CITY OF KORONADAL
REGISTRATION FORM FOR INDIVIDUAL
Name_____________________________________________________________________
First Name Middle
Name Surname
City Address: _______________________________________________________________
School/Company: ___________________________________________________________
Age: _________ Gender: __________ Contact
No.:______________________
Person to notify in case of
emergency:
Name: __________________________ Relationship: ______________________________
Address: _________________________Contact
No.: ______________________________
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DECLARATION OF FITNESS AND WAIVER
I, ____________________________ clearly understand
the nature and risks of the activity I will be participating on, will abide
by its rule and regulations and that the above details are true and correct.
I am aware and accept that participants join this activity at their own risk.
Accordingly on behalf of myself, my heirs, and executors, I hereby waive and
release all rights or claims for damages I may have against death, damage or
loss I may sustain during or as a consequence of the activity.
I
hereby declare that I have read and understand this declaration of fitness
and waiver and that I execute this document willingly and voluntarily.
IN
WITNESS WHEREOF, I have hereunto set my hand this_________________, 2012 at
the City of Koronadal.
________________________
Printed Name and Signature
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Note:Submit registration form on or before June 1, 2012 at the City ENRO, 2ND Floor City
Hall
or any registration outlet located at, ACE CENTERPOINT, KCC MALL, GRAND GAISANO
MALL.
For more details please call 2281732.
