Republic of the Philippines

Province of Capiz
City of Roxas
Barangay Banica
OFFICE OF THE SANGGUNIANG KABATAAN

I_____________________ hereby, allow my son/daughter_________________________

of____________________________ to participate in the “SPLATTER: DO OR DYE” a color fun run on August 18, 2018 at
5:30 in the morning, from Sitio Tulay to Sitio Carmel, Barangay Banica Roxas City. This is in line with the celebration of
the Linggo ng Kabataan, which is an annual activity that coincides with the International Youth Day.

I understood that this entry form and agree to abide by all rules and directives of all race
officials before, during and after the race.

_______________________ ______________________
Participant’s signature Contact Number
(If minors, parent’s signature overprinted name)

Republic of the Philippines

Province of Capiz
City of Roxas
Barangay Banica
OFFICE OF THE SANGGUNIANG KABATAAN

I_____________________ hereby, allow my son/daughter_________________________

of____________________________ to participate in the “SPLATTER: DO OR DYE” a color fun run on August 18, 2018 at
5:30 in the morning, from Sitio Tulay to Sitio Carmel, Barangay Banica Roxas City. This is in line with the celebration of
the Linggo ng Kabataan, which is an annual activity that coincides with the International Youth Day.

I understood that this entry form and agree to abide by all rules and directives of all race
officials before, during and after the race.

_______________________ ______________________
Participant’s signature Contact Number
(If minors, parent’s signature overprinted name)

Republic of the Philippines

Province of Capiz
City of Roxas
Barangay Banica
OFFICE OF THE SANGGUNIANG KABATAAN

I_____________________ hereby, allow my son/daughter_________________________

of____________________________ to participate in the “SPLATTER: DO OR DYE” a color fun run on August 18, 2018 at
5:30 in the morning, from Sitio Tulay to Sitio Carmel, Barangay Banica Roxas City. This is in line with the celebration of
the Linggo ng Kabataan, which is an annual activity that coincides with the International Youth Day.

I understood that this entry form and agree to abide by all rules and directives of all race
officials before, during and after the race.

_______________________ ______________________
Participant’s signature Contact Number
(If minors, parent’s signature overprinted name)