Republic of the Philippines

Province of Albay
Municipality of Libon
OFFICE OF THE SANGGUNIANG KABATAAN

OFFICIAL ENTRY FORM

2022 MAYOR DAS MARONILLA CUP
BASKETBALL

CATEGORY MINI MIDGET MIDGET JUNIOR

12 yrs and below 13-19 yrs old 20-25 yrs old
REQUIREMENT Birth cert./School ID Birth cert./School ID Birth Cert/ COMELEC ID/Cert
SK Certification Comelec ID / Cert (18-19) Vaccination Card
Vaccination Card SK Certification
SK Certification

NAME OF TEAM: _____________________

BARANGAY: _____________________
NAME OF PLAYERS AGE BIRTHDAY SIGNATURE

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MUSE

COACH SK Chairman/Manager

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