Republic of the Philippines

CAVITE STATE UNIVERSITY

Don Severino de las Alas Campus
Indang, Cavite
www.cvsu.edu.ph

ATHLETE ENTRY FORM

PERSONAL INFORMATION

Name of the Athlete:

(Surname, First M.I.)
Home Address:

Campus/College
Represented: 2x2 Picture (Colored Photo)

Year and Course:

Date of Birth:

Age:

Sports Event:
☐ ARNIS: ☐ FOOTBALL
MEN ☐ WOMEN ☐ ☐ FUTSAL
☐ ATHLETICS: ☐ KARATEDO:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN
☐ BADMINTON: ☐ LAWN TENNIS:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN ☐
☐ BASEBALL ☐ SEPAK TAKRAW:
☐ BASKETBALL: MEN ☐ WOMEN
MEN ☐ WOMEN ☐ ☐ SOFTBALL
☐ BASKETBALL 3X3: ☐ SWIMMING:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN ☐
☐ BEACH VBALL: ☐ TABLE TENNIS:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN ☐
☐ BILLIARDS: ☐ TAEKWONDO:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN ☐
☐ CHESS: ☐ VOLLEYBALL:
MEN ☐ WOMEN ☐ MEN ☐ WOMEN ☐
☐ DANCE SPORTS:
LATIN ☐ STANDARD ☐
The above Student-Athlete are eligible in accordance with the University Games General Rules

Screening Officials

WAIVER

We hereby discharge the tournament committee (organizers, officials, and assigned staff) of the Cavite
State University from all claims of damages and demands as a result of my participation in the
tournament.

Furthermore, I confirm that I am well trained and physically fit to participate in the tournament
corollary to the medical clearance of my attending physician. I am fully aware of the risk that I will face
during the tournament.
We hereby certify the veracity of the stated information.

___________________________________________
Signature of Athlete

___________________________________________
Signature of Coach