D C

ENTRY F
MALE PARTNER

Name : ___________________________________ 2x2

Address : ___________________________________ PHOTO
Contact No. : ___________________________________
Email Address : ___________________________________

FEMALE PARTNER

Name : ___________________________________ 2x2

Address : ___________________________________ PHOTO
Contact No. : ___________________________________
Email Address : ___________________________________

COACH (if applicable): ___________________________________

CATEGORY TO JOIN:

REGULAR THIRD KIND SCHOOL-BASED (MARAMAG-

WIDE)

___________________________________ ___________________________________
MALE PARTNER’S SIGNATURE FEMALE
PARTNER’S SIGNATURE

DATE SUBMITTED : _____________________________

RECEIVED BY : _____________________________

___________________________________
SIGNATURE ABOVE PRINTED NAME
COMMITTEE CHAIRPERSON