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
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