CALOOCAN MOBILE LEGENDS TOURNAMENT

PLAYER’S REGISTRATION FORM

NAME: ______________________________
AGE: _______ BIRTHDAY: _________________
ADDRESS: _________________________________________
__________________________________________ 2x2
PRECINT #: _____________
CONTACT #: ________________
EMAIL ADRESS: ___________________________
FB ACCOUNT NAME: ______________________
TEAM NAME: ______________________
TEAM ROLE: ___________
BRGY TO BE REPRESENTED: _________
ZONE: __________
DISTRICT: __________
IGN: _____________
USER ID: _______________
GAME ROLE: _______________

GUARDIAN’S INFORATION / EMERGENCY CONTACT:

NAME: ______________________________________________

CONTACT NUMBER(S): _________________________________

ADDRESS: ____________________________________________
_____________________________________________

I hereby certify that all of the information stated above are true and correct to the
extent of my belief and knowledge.
________________________
Signature over printed name

***kindly attach a photocopy of any Valid ID with picture and signature***

for Inquiries call or message our tournament director @09286828525 or email us at CaloocanMLT@gmail.com