NORTHERN CAVITE PRE-QUALIFYING LEG

SEPTEMBER 9 & 10, 2023

ST. FRANCIS OF ASSISI COLLEGE - BACOOR

WAIVER AND QUITCLAIM

I, THE UNDERSIGNED, hereby apply for entry in the RVL 2023 NORTHERN CAVITE PRE-
QUALIFYING LEG for and in behalf of our athletes and other team officials representing our SCHOOL.
It is understood that all our athletes and team officials are physically and medically prepared to compete
as certified by our duly authorized team doctor. Having read this waiver and knowing the facts in
consideration of your accepting this entry, I, the undersigned, for and in behalf of our SCHOOL, our
athletes and their parents, our heir executors and administrators, hereby waive and release any claims of
any kind, nature and description, which we may have now or in the future against the LEAGUE
ORGANIZERS and its staff and representatives, and further release them for any kind and all injuries or
illness sustained by any of our athletes and team officials while traveling to and from or while
participating in the RVL 2023 NORTHERN CAVITE PRE-QUALIFYING LEG I hereby authorize any
emergency medical unit to release to any physician designated as official representative of the RVL
2023 NORTHERN CAVITE PRE-QUALIFYING LEG to obtain information, medical or otherwise
resulting to the condition of any athlete from participation in the event and I further authorize such
physician to use such information tactfully and tastefully in his dealings with the public.

COACH SIGNATURE
SIGNATURE OVER PRINTED NAME

DATE

TEAM