DAVAO ASSOCIATION OF COLLEGES AND SCHOOLS, INC.

Mac Arthur Highway, Matina, Davao City

Tel. 298 3317 / Telefax No. 297 0847

DACS SPORTSFEST 2009

ATHLETES PERSONAL DATA
(To be filled by the athlete in his own handwriting)

Name: ____________________________________________________________________________________
(Last Name)
(First Name)
(Middle Name)
Date of Birth: ________________________ Age: ______________ Place of Birth: ______________________
(Per Birth Certificate)
Home Address: _____________________________________________________________________________
School: ___________________________________________________________________________________
Name of Parents: ________________________________
____________________________________
(Father)
(Mother)
Address of Parents: _________________________________________________________________________
_____________________________
(Signature of athlete)
This is to certify that I have verified the personal records of the above-named athlete and found that same to be
true and correct.
_________________________
______________________________
Coach

Office of the Students Affair Director

MEDICAL CERTIFICATE
Date: ________________
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________ has been thoroughly examined by that he
and me / she is not suffering from weak heart, defective lungs, or some communicable diseases that will
endanger his / her health or the health of other people.
He / She is therefore physically and mentally fit to participate in the DACS SPORTSFEST for the
school year 2009 2010.
_____________________________________
(Signature over printed name of physician)
License No.: _________________________
Date: _______________________________
PARENT / GUARDIAN CONSENT
TO WHOM IT MAY CONCERN:
This is expressly allowing my son / daughter ____________________________ to participate in the
DACS SPORTSFEST for the school year 2009 20010.
Aware that such athletic activities are in accord with the schools and DACS sports program, and aware that
the coaches and other athletic officials will exercise utmost care and precaution in during the said activities, I
shall not hold the management conducting DACS SPORTSFEST liable of any untoward incident that may
happen that is beyond their control. That I am giving my consent willingly.
___________________________________
(Signature of parents / guardian overprinted name)

Date: _________________________