MIDGET DIVISION (13 YEARS OLD UNDER)
NAME
Last Name First Name Middle Name Ext. Name (Jr., etc.)
AGE
ADDRESS
House Number Sitio
CONTACT
NUMBER
PARENTAL CONSENT AND WAIVER FORM
I, ________________________________________________, hereby give permission to my son (above
mentioned) to participate in 3x3 Basketball Tournament of Barangay Bolosan.
I, as parent and/or legal guardian, remain responsible for any personal action taken by the above
named participant. In signing this waiver, I am not relying on any oral or written representation or
statement made by the school to induce me to permit my son.
_____________________________________
Parent/Guardian Signature over Printed Name
MIDGET DIVISION (13 YEARS OLD UNDER)
NAME
Last Name First Name Middle Name Ext. Name (Jr., etc.)
AGE
ADDRESS
House Number Sitio
CONTACT
NUMBER
PARENTAL CONSENT AND WAIVER FORM
I, ________________________________________________, hereby give permission to my son (above
mentioned) to participate in 3x3 Basketball Tournament of Barangay Bolosan.
I, as parent and/or legal guardian, remain responsible for any personal action taken by the above
named participant. In signing this waiver, I am not relying on any oral or written representation or
statement made by the school to induce me to permit my son.
_____________________________________
Parent/Guardian Signature over Printed Name
JUNIOR DIVISION (16 YEARS OLD UNDER)
NAME
Last Name First Name Middle Name Ext. Name (Jr., etc.)
AGE
ADDRESS
House Number Sitio
CONTACT
NUMBER
PARENTAL CONSENT AND WAIVER FORM
I, ________________________________________________, hereby give permission to my son (above
mentioned) to participate in 3x3 Basketball Tournament of Barangay Bolosan.
I, as parent and/or legal guardian, remain responsible for any personal action taken by the above
named participant. In signing this waiver, I am not relying on any oral or written representation or
statement made by the school to induce me to permit my son.
_____________________________________
Parent/Guardian Signature over Printed Name
JUNIOR DIVISION (16 YEARS OLD UNDER)
NAME
Last Name First Name Middle Name Ext. Name (Jr., etc.)
AGE
ADDRESS
House Number Sitio
CONTACT
NUMBER
PARENTAL CONSENT AND WAIVER FORM
I, ________________________________________________, hereby give permission to my son (above
mentioned) to participate in 3x3 Basketball Tournament of Barangay Bolosan.
I, as parent and/or legal guardian, remain responsible for any personal action taken by the above
named participant. In signing this waiver, I am not relying on any oral or written representation or
statement made by the school to induce me to permit my son.
_____________________________________
Parent/Guardian Signature over Printed Name
OPEN AGE (22 YEARS OLD ABOVE)
TEAM NAME:
SITIO:
AGE
PLAYER’S NAME
1.
2.
3.
4.
Contact Number: _______________________________________
Sitio: ______________________
_____________________________________
Coach/Team Captain’s Signature over Printed Name
OPEN AGE (22 YEARS OLD ABOVE)
TEAM NAME:
SITIO:
AGE
PLAYER’S NAME
1.
2.
3.
4.
Contact Number: _______________________________________
Sitio: ______________________
_____________________________________
Coach/Team Captain’s Signature over Printed Name
