CAGAYAN DE ORO CITY

PUBLIC SCHOOLS BASKETBALL ASSOCIATION

Cagayan de Oro City, Philippines
FOUNDED 2017
“6th Season – 2nd Conference”
DECLARATION OF FITNESS AND WAIVER

I, ___________________________(PARTICIPANT), ____________________(SCHOOL) hereby confirm and declare that:

1. I am participating in the CDOC Inter-Public Schools Basketball Championships of my own free will, desire & volition.

2. I hereby represent and warrant that I am physically fit to participate in the CDOC Inter-Public Schools Basketball

Championships and have no known illness, physical defect, or adverse medical condition that would render me

unfit to participate in the said event. Should I subsequently discover any illness, physical defect, or adverse

medical condition that would render me unfit to participate in the said event, I shall advise the Organizer in writing

and I shall accordingly refrain from participating in any event of the CDOC Inter-Public Schools Basketball

Championships.

3. I hereby release, waive and discharge the Organizer, the CDOC Public Schools Basketball Association, MBROAI, and

DepEd personnel, its successors and assignees from any and all actions, suits, claims and/or demand, criminal,

civil, or whatever nature, arising from any accident, damage, injury, illness, death, or loss that I may suffer as a

result of my participation in the CDOC Inter-Public Schools Basketball Championships from the opening day until

the conclusion of the said event.

I hereby declare that I had read and fully understood this Declaration of Fitness and Release Waiver and that I have

executed this document willingly and voluntarily.

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of _____________, 2024 at ___________________

______________________________________
PARTICIPANT (Printed Name & Signature)

I, ________________________________ (PARENT/GUARDIAN), hereby represent that I am the Parent/Guardian of

___________________________________ (PARTICIPANT) and that I have given my consent for him/her to join and

participate in the CDOC Inter-Public Schools Basketball Championships. I hereby certify that my said son/daughter is

physically, mentally and psychologically fit to participate in the said event.

__________________________________________________
(PARENT or GUARDIAN’S Printed Name & Signature)

I hereby certify under the penalty of perjury that the above entries of data are true and correct and that the above

participant has complied with the tournament rules and guidelines set forth by the Organizing Committee of the CDOC

Inter-Public Schools Basketball Championships and is therefore qualified to play in the said event.

___________________________________
(Coach Printed Name & Signature)