MALE
2x2 Picture
PHILIPPINE NATIONAL GAMES 2015
Makati Coliseum, #31 Mascardo St., La Paz, Makati City
July 4, 2015 (Saturday)
FEMALE
2x2 Picture
Date of Entry: ______________________ DEADLINE OF ENTRY: June 30, 2015
Region: ___________________________
Male: ______________________________ Female: _______________________________
Date of Birth: _______________ Age: ____ Date of Birth: ________________ Age: ______
Contact No.: _________________________ Contact No.: ____________________________
Email Address: _______________________ Email Address: __________________________
Address: ___________________________________________________________________
__________________________________________________________________________
Coach Name and Contact Number:_______________________________________________
CATEGORIES: (please check appropriate box)
STANDARD EVENTS
Youth D – W, T
Youth C – W, T, QS
Youth B - W, T, SF, QS
Youth A – W, T, VW, SF, QS
Grade C – W, T, QS
Grade B – W, T, SF, QS
Amateur Grade A – W, T, VW, SF, QS
LATIN EVENTS
Youth D- C, R
Youth C – C, R, J
Youth B – S, C, R, J
Youth A – S, C, R, PD, J
Grade C – C, R, J
Grade B – S, C. R, J
Amateur Grade A – S, C, R. PD, J
Youth- Born 1997 to 1999; Amateur - Born 1996 or before
CERTIFICATION AND WAIVER
We certify that all the information entered herein is correct and accurate, and shall be the basis for the qualification
and approval of our participation in the appropriate competition event(s) we have registered for. We further certify
that we have read the official rules of competition and shall abide by the final decision of the Organizer based on the
rules. We hereby absolve the Organizer of any obligation for any injuries, damages, losses we may sustain the course of
the participation and conduct of this competition.
Male Signature: ______________________ Female Signature: _______________________
_________________________
_________________________
(Parent’s/Guardian’s Signature above printed name if under 18 years of age)
+++++++++++FOR OFFICIAL USE ONLY ++++++++++++
MALE PARTNER
Birth Certificate
PSC Athlete Form
Medical & Liability
LGU Endorsement
FEMALE PARTNER
Birth Certificate
PSC Athlete Form
Medical & Liability
LGU Endorsement
April 14, 2015
EVENT(S) APPROVED
GENERAL RULES OF DANCESPORT COMPETITION
1. NO ENTRY FEE
2. Each couple may compete in One (1) or Two (2) maximum events only.
3. All entry forms and COMPLETE requirements must be submitted to the DanceSport
Training Center, Philsports Complex, Meralco Avenue, Pasig City or
[email protected] on or before June 30, 2015 as follows:
a. Duly filled up entry form
b. Photocopy of competitors Birth Certificate
c. One (1) 2x2 photo per competitor
d. Medical & Liability
e. LGU Endorsement
4. Age limit requirements are based on the birth certificate
Youth- Born 1997 to 1999 Amateur - Born 1996 or before
The age of the older partner will be the basis for the qualification of the category.
5. Costume and dress regulations will be STRICTLY ENFORCED and may result to
immediate elimination from joining the competition. Parents/Guardians, and coaches,
please strictly follow WDSF Dress Regulation
6. No change of partner is allowed in the same event.
7. All competing couples not ready on the floor for their events will be eliminated.
8. The organizer reserves the right to refuse any entry from any person whose status is
unclear.
9. The organizer reserves the right to change and/or cancel the program of the events
without prior notice.
10. The decision of the qualified Adjudicators is Final.
11. It is the responsibility of the competitors to update themselves regarding competition
matters through the DSCPI bulletin board at the Training Center and the DSCPI website
www.dancesportphils.com. Or visit the PSC website www.png.psc.gov.ph for Any
inquiries may be addressed to the Secretariat at Telefax (02) 637-2314
Maria Del Carmen Emma Nieto
Sports Director &
PNG Officiating Official
63 917 897 6758
Lorien Burac
DSCPI – Secretariat
63 917 564 1375
April 14, 2015