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ROTARY CLUB OF UNIVERSITY DISTRICT MANILA

RCUDM Multi-Purpose Ctr., c/o C.M. Recto High School
3rd St. C. Aguila, San Miguel, Manila
Telefax: 5591952
WAIVER OF LIABILITY
I am fully aware that the sports competitions conducted by the Rotary Club of University
District Manila are for the benefit and development of the youth particularly the Rotaractors and
Interactors. My participation is purely voluntary and with full knowledge of my parents and
knowing fully well of the risks involved.
In consideration of my acceptance in sports competitions, I agree to be legally bound for
myself, parents, heirs, executors, administrations, assigns waive and release, any and all rights,
claims for damages that I may have arising from injuries sustained during the competition against
the Rotary Club of University District Manila, its officers, directors or members or those in
charge.
I attest that I am physically fit and sufficiently trained for the sports competition. I
understand and agree that any medical services or aids which maybe extended to me by the
doctors or nurses are those of the Philippine Center for Sports Medicine (PCSM) who are
requested to provide first aid assistance without any compensation or remuneration.
I fully understand the contents of this document and sign the same voluntarily without
any threat or force imposed upon me.
_________________________
Participant’s Signature
_________________________
Parent/Guardian’s Signature
Signed in the presence of:
____________________

ROTARY CLUB OF UNIVERSITY DISTRICT MANILA
RCUDM Multi-Purpose Ctr., c/o C.M. Recto High School
3rd St. C. Aguila, San Miguel, Manila
Telefax: 5591952
WAIVER OF LIABILITY
I am fully aware that the sports competitions conducted by the Rotary Club of University
District Manila are for the benefit and development of the youth particularly the Rotaractors and
Interactors. My participation is purely voluntary and with full knowledge of my parents and
knowing fully well of the risks involved.
In consideration of my acceptance in sports competitions, I agree to be legally bound for
myself, parents, heirs, executors, administrations, assigns waive and release, any and all rights,
claims for damages that I may have arising from injuries sustained during the competition against
the Rotary Club of University District Manila, its officers, directors or members or those in
charge.
I attest that I am physically fit and sufficiently trained for the sports competition. I
understand and agree that any medical services or aids which maybe extended to me by the
doctors or nurses are those of the Philippine Center for Sports Medicine (PCSM) who are
requested to provide first aid assistance without any compensation or remuneration.
I fully understand the contents of this document and sign the same voluntarily without
any threat or force imposed upon me.
_________________________
Participant’s Signature
_________________________
Parent/Guardian’s Signature
Signed in the presence of:
____________________