PDRRMC BASKETBALL TOURNAMENT

Fuerte Sports Complex

Capitol Complex, Cadlan Pili, Camarines Sur

PLAYER’S PERSONAL INFORMATION

(Please provide individual copy per player)
(This can be photocopied)

Name: _______________________________________________________________________________
Surname First Name Middle Name

Date of Birth: _________________________ Contact Number: __________________________

Age:________ Height:______ Weight: _____

Address:_____________________________________________________________________________

Person to notify in case of emergency: _____________________________________________________

Address and Contact No. : _______________________________________________________________

Are you physically fit to attend this competition? [ ] YES [ ] NO

CERTIFICATION/WAIVER

I do hereby certify that all facts and information indicated herein are true and correct to the best
of my knowledge and belief. I certify that I am physically fit to participate in this tournament. I do hereby
waive and release all my rights for any damage/injury/accident that may rise against the management of
this tournament.

__________________________________
Signature of Printed Name of Player

__________________________________
Signature over Printed Name of Head Coach