Republic of the P hilippines

Province of Pangasinan
Municipality of Mangaldan
SANGGUNIANG KABATAAN OF BARANGAY NIBALIW

BARANGAY NIBALIW BASKETBALL LEAGUE 2024

REGISTRATION FORM

*Complete One (1) Form per player

Participant’s Name: ___________________________________ Date of Birth:_______________

Age:________

Address: ___________________________________ Category: ______________

Team:___________________

IN CASE OF EMERGENCY
Parent/Legal Guardian’s Name: __________________________________Contact No.: ___________________

WAIVER OF LIABILITY RELEASE FORM

BARANGAY NIBALIW BASKETBALL LEAGUE 2024

I, the undersigned, hereby acknowledge and agree to the following terms and conditions in consideration for my
participation in the basketball activity organized by Sangguniang Kabataan Council of Barangay Nibaliw.

1. Assumption of Risks:
I understand and acknowledge that participating in basketball involves certain inherent risks, including but not
limited to bodily injury, property damage, and the risk of accidents. I voluntarily assume all such risks
associated with playing basketball.

2. Release and Waiver:

In consideration for being allowed to participate in the basketball activity, I hereby release, discharge, and hold
harmless to SK Nibaliw Council, its organizers, volunteers, employees, and sponsors from any and all liability,
claims, demands, actions, or causes of action, whether in law or in equity, arising out of or related to any
accidents, injuries, or damages that may occur during or as a result of my participation in the basketball activity.

3. Acknowledgment of Rules:
I agree to abide by all rules and regulations set forth by the Committee on Sports and Development and the rest
of the SK Nibaliw Council for the basketball activity. I understand that failure to comply with these rules may
result in my removal from the activity.

4. Medical Treatment Authorization:

In the event of an injury or medical emergency, I authorize the SK Nibaliw Council and its representatives to
obtain medical treatment on my behalf. I understand that I am responsible for any medical expenses incurred.

5. No Insurance Coverage:
I acknowledge that the SK Nibaliw Council does not provide any insurance coverage for injuries or damages
that may occur during the basketball activity. I am solely responsible for obtaining any necessary insurance
coverage.

I have read and understand this waiver and release of liability and voluntarily agree to its terms.

____________________________________________
PRINTED NAME OVER SIGNATURE

______________________________________________________________
PARENT/GUARDIAN’S NAME OVER PRINTED SIGNATURE
(If participant is a minor)