SMU DIVA LA FUTBOL XVI REGISTRATION FORM

Transcription

1 SMU DIVA LA FUTBOL XVI REGISTRATION FORM 23RD JUNE 2018 Team Name: No. of team members: (min. 5 and max. 7 including 2 reserves) Captain s Name: Category: Open / Premier / Youth (please circle accordingly) PARTICIPANTS DETAILS Participant 1: NOK Participant 2: NOK

2 Participant 3: NOK Participant 4: NOK

3 Participant 5: NOK Participant 6: NOK

4 Participant 7: NOK POINTS TO NOTE: 1. All registration forms and photos must be submitted via to before 10 June. 2. Copies of hand-signed indemnity forms, as well as this registration form must be submitted together for the first step of registration to be considered complete. 3. Paying the registration fee (non-refundable) of $100 (early bird, 16 Mar-25 May) /$110 (normal, 26 May-10 June) per team must be submitted in order for the second (and last) step of registration to be considered complete. 4. The payment procedure will be explained via once the first step of registration is complete. 5. For further enquiries, please us at or contact: /

5 SMU Diva La Futbol XVI 2018 To : SMU Diva La Futbol To be completed and signed by PARTICIPANT Above THE AGE OF 21 I confirm that I, NRIC/FIN: will be participating in the event SMU Diva La Futbol XVI on 23 rd June I recognize and accept that my involvement in the event involves certain amount of risks, both foreseeable and unforeseeable (including but not limited to sustaining personal injuries and/or loss of life). I undertake to cooperate fully with all rules and regulations of the Organizing Committee, any other relevant organisations and authorities, and SMU Diva La Futbol, including but not limited to safety instructions. I further undertake not to perform any illegal act or participate in any illegal activity, or conduct myself in a manner that may tarnish the reputation of SMU Diva La Futbol. I confirm that I have fully informed my parents of my involvement in the event. I hereby irrevocably undertake that I shall not, to the fullest extent permitted by the laws of Singapore, hold SMU Diva La Futbol, its Committee members, volunteers or any of its authorised agents responsible for any damage to or loss of property or any injury or loss of life which may be sustained by me during the event or arising from any cause in connection with the event where such damage to or loss of property or any injury or loss of life is not caused by the negligence of SMU Diva La Futbol, its Committee members, volunteers or any of its authorised agents. Name of Participant Signature *NRIC / Passport No.

6 SMU Diva La Futbol XVI 2018 To be completed and signed by PARENT/ GUARDIAN of participant BELOW THE AGE OF 21 To : SMU Diva La Futbol I confirm that my child/ward, NRIC/FIN: will be participating in the event SMU Diva La Futbol XVI on 23 rd June I recognize and accept that my child/ward s involvement in the event involves certain amount of risks, both foreseeable and unforeseeable (including but not limited to sustaining personal injuries and/or loss of life). I undertake to cooperate fully with all rules and regulations of the Organizing Committee, any other relevant organisations and authorities, and SMU Diva La Futbol, including but not limited to safety instructions. I hereby irrevocably undertake that I shall not, to the fullest extent permitted by the laws of Singapore, hold SMU Diva La Futbol, its Committee members, volunteers or any of its authorised agents responsible for any damage to or loss of property or any injury or loss of life which may be sustained by my child/ward during the event or arising from any cause in connection with the event where such damage to or loss of property or any injury or loss of life is not caused by the negligence of SMU Diva La Futbol, its Committee members, volunteers or any of its authorised agents. Name of Parent/ Guardian Signature *NRIC / Passport No.