PSMOC REG FORM.cdr

Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila
Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila
Website: www.psmoc.org.ph
Contact No.: (Globe) 09158150927, (Sun) 09226904704
Website: www.psmoc.org.ph
Contact No.: (Globe) 09158150927, (Sun) 09226904704
Email Address: [email protected]
[email protected]
REGISTRATION FORM
Email Address: [email protected]
[email protected]
REGISTRATION FORM
Shooter’s #
DATE:
Shooter’s PIN #
Shooter’s #
DATE:
Shooter’s PIN #
Shooter Name:
Shooter Name:
Address:
Address:
Cell #:
Email Add:
Cell #:
Email Add:
check( ) to select
check( ) to select
MATCH
DIVISION
3*GUN NATION
UNLIMITED
2 - GUN MATCH
DIVISION
3*GUN NATION
UNLIMITED
2 - GUN MATCH
STOCK
MINI - RIFLE
MATCH
STOCK
MINI - RIFLE
FIREARM INFORMATION
FIREARM INFORMATION
KIND
MAKE
MODEL
KIND
MAKE
MODEL
CALIBER
F/A LICENSE #
SERIAL #
CALIBER
F/A LICENSE #
SERIAL #
WAIVER
WAIVER
I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM
AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL,
COMPETITION ORGANIZERS, STAFF, MATCH OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM
MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL
FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF
COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND
REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION
AND / OR REMOVAL FROM THE COMPETITION GROUND.
I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM
AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL,
COMPETITION ORGANIZERS, STAFF, MATCH OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM
MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL
FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF
COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND
REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION
AND / OR REMOVAL FROM THE COMPETITION GROUND.
IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________
20________ AT______________________________, PHILIPPINES.
IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________
20________ AT______________________________, PHILIPPINES.
Shooter’s Signature
Shooter’s Signature