REGISTRATION FORM
NAME: Kristoffer G. Montalban
AGE: 37
ADDRESS: Block 16 Lot 14
Terraverde Residence, Bancal
Carmona
CP NO.:09561528703

T-SHIRT SIZE: (Pls. Check)

SMALL

MEDIUM

LARGE

XL

*FOR AGES 17 AND BELOW PLEASE SECURE PARENTAL CONSENT 

 

WAIVER  
WAIVER
PARENTAL CONSENT FOR MINORS PARENT’S NAME & SIGNATURE
I voluntarily allow my child to join in this Tour
De Mountain Province, and hereby certify that
my child is physically and mentally fit to
participate.
CERTIFICATION & WAIVER NAME & SIGNATURE OF PARTICIPANT
I hereby certify that all above information are
true and correct.
I release the organizers of this Tour De
Mountain Province from any liability whatsoever,
arising from any injury or damage which may be
sustained during the race and waive any right of
course of action relative thereto.