MARYKNOLL / MIRIAM COLLEGE

ALUMNI ASSOCIATION (MMCAA)

“TARA, LARO TAYO!”

LARONG PINOY SPORTS FEST
Registration Form

NAME: _______________________________________ Year Graduated:

(Family Name) (First Name) (Maiden Name) Grade School _____
High School _____
ADDRESS: ________________________________________ College _____
(#, Street, District, City / State, Country, Zip Code)

EMAIL ADDRESS: ___________________________________

CONTACT INFORMATION:
Mobile Number: _____________________
Home Number : _____________________

You may also contact me through (please check and provide details):
/_/ FB Messenger
/_/ Viber
/_/ Other apps:(please specify): ______________

I am registering the following participants for “Tara, Laro Tayo!”:

FULL NAME DATE OF BIRTH AGE RELATIONSHIP TO ALUMNA

______________________ _______________ _____ __________________________
______________________ _______________ _____ __________________________
______________________ _______________ _____ __________________________
______________________ _______________ _____ __________________________

Notice Re Personal Data:

The Maryknoll/Miriam College Alumni Association (MMCAA) respects your privacy and will keep personal and
sensitive information that you may provide/those that MMCAA will collect from you (“Personal Data”) secure and
confidential. By submitting them in this form, you hereby authorize MMCAA to collect, store and process your
data. Your information will only be shared inside and outside the MMCAA with your permission.
For this instance, you are providing us information that may also be shared with the contracted organizer, Magna
Kultura Foundation, specifically for logistical purposes of this event, “Tara, Laro Tayo!” only.

UPON COMPLETION, PLEASE EMAIL TO: alumni@mc.edu.ph. THANK YOU!

MMCAA Office, G/F Caritas Hall, Miriam College, Katipunan Avenue, Loyola Heights, Quezon City, Philippines
Tel. No: (632) 930-6272 Local 1187; Email: alumni@mc.edu.ph