CoRAzoN c. RUBIo, cEso vr - republic of the philippines division of ...
CoRAzoN c. RUBIo, cEso vr - republic of the philippines division of ...
CoRAzoN c. RUBIo, cEso vr - republic of the philippines division of ...
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Philippine Amateur Sepsktskmw Association, Inc.<br />
. FOR PARTICIPANIS OF MNORITY AGEE<br />
(UNDER AGF I8 AT THE TIIII|E OF REGISTRATION}<br />
Thls is to certify thal l, as parenyguardian <strong>of</strong> With legal<br />
responsibility for this participant, do consent and agree to his/her release as provided<br />
above <strong>of</strong> all <strong>the</strong> Releasees, and for myself, my heirs, assigns, and next <strong>of</strong> kin, I<br />
release and agree to indemnify and hold harmless <strong>the</strong> Releasees from any and all<br />
liabilities incident to my minor child's involvement or participation in <strong>the</strong>se progEms<br />
as provided above, EVEN lF ARISING FROM THEIR NEGLIGENCE, to <strong>the</strong> fullest<br />
extent permitled by law.<br />
DATE SIGNED:<br />
(Parenucuardian/Team Manager Name & Signature)<br />
Emergencl Phone Number:,( )<br />
Philippirc Amaletrr S€psk Takrsw Associttion lnc, (PASTA)<br />
Address: C/F Bldg. B Philippine Spor'ts Commission ULTRA Sports Complex, Pasig<br />
City<br />
Email: llll!-j-ra.i.tl,-i!1I::tj!u|t i.:'It!<br />
Mobile:0917.8115714