7th. Zambales Lifeguard Challenge
Sponsored by the Stanadard Insurance Company Inc.
March 17 & 18 2018
Palmera Garden Beach Resort, Bangantalinga Iba. Zambales.
ENTRY FORM (Seniors)
Team Name: ______
Team Leader / Player 1______
Address ______
Email ______Ph______F/B______
Certification issued by ______Date ______
Signature. *______Shirt size, pls circle size xs, s, m, l, xl.
Player 2.______
Address ______
Email ______Ph______F/B______
Certification issued by ______Date ______
Signature. *______Shirt size, pls circle size xs, s, m, l, xl.
Note: Zerox copy of certification and a 2 X 2 ID photo must be attached for eachplayer.
Entry fees: P2,500.00 per teamby Feb 15. P3000.00 after Feb 16 till March 09.
Entry fee includes: Competition singlet and lunch (Saturday & Sunday) for each player.
*______Date: ____ / ______/ 201_
Both players to sign - Signature over printed Name
Payment of P______.00 Included, checks, money orders make payable to Zambales Lifesaving Inc., or direct deposit to: Metrobank, Iba branch, Account # will be given upon request.
*
We that have signed this entry form fully understand the risks and hazards involved in these activities. That for myself, heirs, executors, administrators do hereby unconditionally release and forever discharge Zambales Lifesaving Inc., it’s staff and members thereof, the organizing committee, all sponsors and venue, lifesaving directors, and volunteers of this event and their respective heirs, executors, administrators, successors and assigns from any and all liabilities, actions, claims demands, damages cost and expenses, which I may now or in the future have against them, or any of them, in any way arising out of or in a way connected to my participation in these events.
If playeris under 18 years of age, the following parential consent must be signed.
Authority of parent or guardian.
I ______of ______
Being the Parent/Guardian of ______
Do hereby authorize Him / Her to join and compete in the 7th. Zambales Lifeguard Challenge.
(Please attach a Xerox copy of Parent/Guardian photo ID)
*______/ ____ 201_.
Signature over printed Name