You are on page 1of 2

DECLARATION OF FITNESS AND WAIVER

I, _______________________________________, with postal and residence address at


_____________________________________________________ hereby confirm and declare that:
1. I am participating in the MILO

Little Olympics to be held on ____________________________________


at _____________________________________,of my own free will, desire, and volition.
2. I hereby represent and warrant that I am physically fit to participate and take part in the MILO

Little Olympics and have no


known illness, physical defect, or adverse medical condition that would render me unfit to participate in the MILO

Little
Olympics. Should I subsequently discover any illness, physical defect, or adverse medical condition that would render me unfit
to participate in the MILO

Little Olympics, I shall advise the Organizer in writing and I shall accordingly refrain from
participating in any event of the MILO

Little Olympics. Should I qualify, I shall represent my region in the MILO

Little
Olympics National Finals which will be held on _________________ at ______________.
3. I hereby authorize the Organizer and/ or Event Sponsor to use my name, photographs, videos, and interviews in connection
with the MILO

Little Olympics in broadcast and print media, videotapes, etc. without any monetary consideration.
4. I understand that if and when my identity is challenged by the Organizer, it is my responsibility to prove my identity.
5. I acknowledge that the MILO

Little Olympics is conducted and managed solely by the organizer. I understand that Nestle
Phils., Inc. is the sponsor of the MILO

Little Olympics but is not involved in the activitys conduct or organization, nor in the
formulation and implementation of the rules governing the Activity.
6. I agree to abide by the decision of the Organizer on any issue relative to my participation in the MILO

Little Olympics,
including but not limited to official calls and the interpretation of rules governing the Activity, and shall accept as final any
decision of the Organizer regarding any dispute over such rules or regarding the manner of holding the Activity.
7. I shall hold the Organizer, Publicis-Manila, Inc., PR Agency, Manpower Agency, and the sponsor, Nestle Phils., Inc. free and
harmless from any and all claims arising from any accident, damage, injury, illness, death, or loss that I may suffer as a result
of my participation in the MILO

Little Olympics
I hereby declare that I have read and understood this Declaration of Fitness and Waiver and that I have executed this document
willingly and voluntarily.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _____________ , ____ at
________________________________.

__________________________
(Printed Name and Signature) STUDENT
I, ___________________, hereby represent that I am the parent/guardian of _________________ and that I have
given my consent for him/her to join and participate in the MILO

Little Olympics. I hereby certify that my said child/ward is


physically, mentally and psychologically fit to participate in the said MILO

Little Olympics. In case he/she will qualify, I will allow


my child/ward to participate in the MILO

Little Olympics National Finals which will be held on


__________________________ at ________________________.
__________________________________________
(Parents/Guardians Printed Name and Signature)

I, __________________, hereby certify that I have examined _____________ and I find him/her physically fit to
participate in the MILO

Little Olympics.
___________________________________________
(Medical Doctors Printed Name and Signature)
We hereby certify under the penalty of perjury that the above entries of data are true and correct and that the above player has
complied with the tournament manager rules and guidelines set forth by the Organizing Committee of the MILO

Little Olympics
and is therefore qualified to play in said event.
____________________________________________
(School Head/Team Coachs Printed Name and Signature)
Please submit this form immediately to the Secretariat Office of the Organizer.
F
ir
s
t
N
a
m
e
N
a
m
e
o
f
A
t
h
le
t
e
:
S
u
r
n
a
m
e
M
. I
.
B
ir
t
h
D
a
t
e
:
M
M
/
D
D
/
Y
Y
Y
Y
G
e
n
d
e
r
:
M

F
/
/
A
g
e
:
C
o
n
t
a
c
t
N
o
. :
W
e
ig
h
t
(
k
g
s
.)
:
H
e
ig
h
t
(
c
m
s
.)
:
A
d
d
r
e
s
s
:
C
it
iz
e
n
s
h
ip
:
E
V
E
N
T
E
V
E
N
T
E
V
E
N
T
E
V
E
N
T
T
o
u
r
n
a
m
e
n
t
C
a
t
e
g
o
r
y
: E
le
m
e
n
t
a
r
y
H
ig
h
S
c
h
o
o
l

D
I
V
I
S
I
O
N
B
O
Y
S
G
IR
L
S
D
I
V
I
S
I
O
N
B
O
Y
S
G
IR
L
S
D
I
V
I
S
I
O
N
B
O
Y
S
G
IR
L
S
D
I
V
I
S
I
O
N
M
IX
E
D
E
D
U
C
A
T
I
O
N
A
L
I
N
F
O
R
M
A
T
I
O
N
N
a
m
e
o
f
S
c
h
o
o
l:
A
d
d
r
e
s
s
:
D
e
p
E
d
/
S
c
h
o
o
l S
t
u
d
e
n
t
N
o
. (
if
a
n
y
)
R
E
G
I
S
T
R
A
T
I
O
N

F
O
R
M
2
x
2

P
h
o
t
o
A
t
h
le
t
ic
s
B
a
d
m
in
t
o
n

B
a
s
k
e
t
b
a
ll
C
h
e
s
s
F
o
o
t
b
a
ll
G
y
m
n
a
s
t
ic
s
S
ip
a
/
S
e
p
a
k
T
a
k
r
a
w

S
w
im
m
in
g
T
a
b
le
T
e
n
n
is

T
a
e
k
w
o
n
d
o
T
e
n
n
is
V
o
lle
y
b
a
ll
S
c
r
a
b
b
le
(
M
ix
e
d
)

L
I
T
T
L
E

C
H
A
M
P
I
O
N
S
,

B
I
G

D
R
E
A
M
S
2013 MILO

LITTLE OLYMPICS RULES AND REGULATIONS


1. The MILO

LITTLE OLYMPICS is the DEVELOPMENTAL version of the Summer Olympic Games and is open to
school-based teams comprising of male or female students, in the elementary and high school levels of public
and private schools in the Philippines. Individuals or sports clubs/groups are not qualified.
2. The MILO

LITTLE OLYMPICS features thirteen (13) sporting events:


3. The competitions are divided into two (2) Levels:
a. The 12 and under division for elementary students aged 7-12 (Grades 1-6)
b. The 17 and under division for high school for boys and girls aged 13-17 (Grades 7-12)
4. A SCHOOL MUST ENTER IN A MINIMUM OF THREE (3) SPORTING EVENTS PER LEVEL IN ORDER TO BE ACCEPTED
IN THE MILO

LITTLE OLYMPICS.
5. Interested teams are required to pay a non-refundable entry fee per team entry, per sport, per level:
Entry Fee per Sport:
6. All participants are required to submit an original and a photocopy of their NSO Birth Certificate, Form 137 or
Form 138 plus one (1) empty MILO

22g pack along with the accomplished and signed official registration
form.
7. All participants must seek their parental/guardian consent and fill out the portion in the registration form
where the parent/guardian, physician and school head/team coach are required to sign.
8. Individuals/teams who fail to complete the required documents on the set deadline shall automatically be
disqualified by the Event Organizer.
NOTE: REGISTRATION IS ON A FIRST-COME, FIRST-SERVED BASIS. ONLY SCHOOL TEAMS WITH COMPLETE
REQUIREMENTS WILL BE ACCOMMODATED.
9. The Schedule of Activities will be as follows:
10. The Sponsor and Event Organizer will not be held responsible for any or all injuries an athlete may sustain
before, during and after competition. However, in case of injuries, first-aid will be provided for the
participants during competition.
11. Gold, Silver and Bronze medals will be awarded to the winning individuals/schools. The Gold medal winners
will be qualified to participate in the MILO

Little Olympics National Finals.


12. In case of typhoon or other natural calamities, the Event Organizer shall have the right to determine whether
all games will be cancelled or moved to a later date with due notice to the heads of schools or authorized
coaches.
13. Event Organizer reserves the right to modify any of the above rules and regulations as it deems necessary to
ensure the success of the MILO

Little Olympics.

2013 MILO

LITTLE OLYMPICS ELIGIBILITY RULES


1. The MILO

Little Olympics competition is open to all bona fide students currently enrolled in Elementary and
High School levels of the official list of participating schools.
1.1. Elementary students must compete in the Elementary Level only. Participants must be between 7 to 12
years old. The cut-off year of birth is 2001.
1.2. High School students must compete in the High School Level only. The age limit for High School athletes
is 17 years old. The cut-off year of birth is 1996.
2. Student-athletes found to have violated the Eligibility Rules shall be prohibited in participating in all future
MILO

events. The player forfeits his standing in the individual events, or in case of team events, his/her
team forfeits all games he/she had played in.
3. The Event Organizer reserves the right to disqualify any school which commits any act detrimental to the
MILO

Little Olympics.
4. The Event Organizer reserves the right to accept or deny participants, modify any of the above rules and
regulations as it deems necessary to ensure the success of the MILO

Little Olympics.
SIDE EVENTS:
Miss MILO

Little Olympics
Biggest School Delegation Competition
Inter-School Loudest Cheer Competition
Inter-School Marching Parade and Saludo Competition
Most Disciplined School Delegation
Inter-School Cheer Dance Competition
Note: For complete mechanics, visit www.milo.com.ph
1. Athletics (Boys/Girls)
2. Badminton (Boys/Girls)
3. Basketball (Boys)
4. Chess (Boys/Girls)
5. Football (Boys)
6. Gymnastics (Boys/Girls)
7. Scrabble (Mixed)
8. Sipa (Elementary Boys) & Sepak Takraw (HS Boys)
9. Swimming (Boys/Girls)
10. Table Tennis (Boys/Girls)
11. Taekwondo (Boys/Girls)
12. Tennis (Boys/Girls)
13. Volleyball (Boys/Girls)
In partnership with:
LITTLE CHAMPIONS
BIG DREAMS
MLO LEG REGISTRATION CENTER ORGANIZER CONTACT NUMBER
VISAYAS CEBU CITY SPORTS COMPLEX MR. RICKY BALLESTEROS 0920-908-9742
MINDANAO DON GREGORIO PELAEZ SPORTS COMPLEX MR. MEGDONIO LLAMERA 0917-912-2857
NCR MARIKINA SPORTS PARK PROF. ROBERT CALO 0917-806-5554
LUZON BAGUIO CITY ATHLETIC BOWL MS. TESS BERNARDINO 0917-565-5214
2013 MILO

LITTLE OLYMPICS REGISTRATION CENTERS


MLO LEG REGISTRATION PERIOD EVENT SCHEDULE REGISTRATION / TOURNAMENT VENUE
VISAYAS JUL 2 - AUG 9 AUG 16 - 18 & 24 - 25 CEBU CITY SPORTS COMPLEX
MINDANAO JUL 9 - AUG 16 AUG 23 - 25 DON GREGORIO PELAEZ SPORTS COMPLEX
NCR JUL 16 - AUG 23 AUG 30-SEPT 1 & SEPT 7-8 MARIKINA SPORTS PARK
LUZON JUL 23 - AUG 30 SEP 6 - 8 BAGUIO CITY ATHLETIC BOWL
NATIONAL FINALS FOR QUALIFIERS ONLY OCT 25 - 27 CEBU CITY SPORTS COMPLEX
ATHLETICS
BADMINTON
CHESS
GYMNASTICS
SCRABBLE
SIPA/SEPAK TAKRAW
SWIMMING
TABLE TENNIS
TAEKWONDO
TENNIS
BASKETBALL FOOTBALL VOLLEYBALL
PHP 500
PHP 1,000

You might also like