.

UNIVERSITY OF MAKATI STUDENT COUNCIL

INTRAMURALS 2023

OFFICIAL APPLICATION FORM

UNIVERSITY OF MAKATI STUDENT COUNCIL (USC) NEITHER COLLECTS NOR HAS IT AUTHORIZED ANY
PERSON/ENTITY TO COLLECT ANY FEE IN CONNECTION WITH THIS APPLICATION.

PLEASE READ BEFORE FILLING OUT THIS APPLICATION FORM:

In compliance with the provisions of the Data Privacy Act of 2012 (Republic Act. No. 10173), you are hereby given
notice that:
1. The information and supporting documents that you are about to provide or have provided will be used by USC
solely for the purpose of determining and evaluating your fitness and eligibility to join the University-wide Intramurals
2023.
2. This Application Form and all other documents that are required from you will be stored in USC Office 2 nd floor,
Room 206 Academic Building I, University of Makati, Makati City, until the Awarding/Closing Ceremony of Intramurals
2023.
3. Upon reasonable demand before the Awarding/Closing Ceremony of Intramurals 2023, you will have the right to
access this Application Form and all documents you have submitted; correct inaccuracies or errors in the information
provided; and suspend; withdraw or order the blocking removal or destruction of any and all information and
documents provided;
4. You may e-mail mmu.usc@gmail.com for all concerns related to the information provided in this Application Form
and all other documents required to be submitted.

By affixing your signature below, you represent and warrant that:

All information that you will provide or have provided are true and correct to the best of your knowledge,
freely and voluntarily given for purposes of allowing USC to determine your eligibility to join the University-wide
Intramurals 2023.
You likewise categorically and explicitly authorize USC, its production head, directors/trustees, officers,
and duly authorized representatives, including its subsidiaries and affiliates, to keep, store, use, access and
process all information that you will provide or have provided in this Application Form and documents required
to be submitted.
You fully understand and confirm that signing this document means giving your consent and that you do so
freely, knowingly, voluntarily, willingly and under no duress, and that your application for entry into the
University-wide Intramurals 2023 as a prospective participant will not be processed or entertained without first
affixing your signature below.

Applicant’s Signature

(Please fill out this Application Form and submit to Mr. Dexter Apinado/Screening and Evaluation Committee)
 I. PERSONAL INFORMATION

FULL NAME NICKNAME

Surname, First Name Middle Name

PEN NAME/STAGE NAME/PSEUDONYM SEX

PRESENT ADDRESS House No./Unit No./Condominium Street

Barangay City/Municipality Province

AGE DATE OF BIRTH PLACE OF BIRTH

mm/dd/yy

CONTACT DETAILS
LANDLINE MOBILE EMAIL
I can most easily be reached/contacted through:

PARTICIPATION IN OTHER SPORTING EVENTS

SPORTING EVENT/ORGANIZER PLACEMENT DATE

EDUCATION
COLLEGE/CENTER YEAR LEVEL
PROGRAM & MAJOR NO/S. OF UNITS
STUDENT ID NO/S. G.W.A.
LANGUAGES/DIALECTS SPOKEN

OTHER PERSONAL INFORMATION

HOBBIES
SPORTS ACTIVITIES

FAMILY BACKGROUND
NAME OCCUPATION ADDRESS CONTACT NO/S.
FATHER
MOTHER
GUARDIAN
(If any)
 BODY MEASUREMENTS AND INFORMATION
VITAL
HEIGHT WEIGHT
STATISTICS Chest Waist Hips

PERSONAL REFERENCES
(Provide at least three (3) reference who are NOT your relatives)
NAME ADDRESS CONTACT NO/S.

Vaccine Information:

Brand

Date Given First Dose: Second Dose:

Had been exposed O Yes O No

to Covid-19 Date:

Photo of AUTHENTIC Vaccination Card

II. HEALTH AND SAFETY PROTOCOLS

1. General Guidelines

All committees, candidates and person involved in Intramurals 2023 should be:
a) Fully Vaccinated with vaccination card
b) Wear Face mask all the time
c) Observe proper guidelines and social distancing (6 feet apart)
d) Practice Hand hygiene all the time by washing before, during and after activities.
e) Monitor oneself and make sure that there are no signs and symptoms of COVID-19 before going to
the venue.
f) Before entering the venue, everyone should wear a shoe cover and do hand hygiene ex. Washing
with soap and water, using 60% alcohol or hand sanitizers.
g) Participants will have to sanitize their hands every 1hr and 30 min.
h) Before the Preliminary and Coronation night, everyone should take 3 days home quarantine.
i) Everyone is mandated to bring extra clothes, personal alcohol spray, face towel, hygiene kits and
water bottle.
j) Strictly no sharing of personal things, equipment and food.
k) Only one warning will be given to those who failed to comply with the rules implemented.
i. Those who failed to follow rules shall be given punishment of dismissal or
suspension.
SIGN AND SYMPTOMS OF COVID-19:
If a person is having any of the symptoms below please refrain from participating in physical
practices for the event. Rest and recover until further notice or as the symptoms disappear.
Failure to follow will lead to disqualification for putting the people involved at risk.

a) Fever or chills
b) Cough
c) Shortness of breath or difficulty breathing
d) Fatigue
e) Muscle or body aches
f) Headache
g) New loss of taste or smell
h) Sore throat
i) Congestion or runny nose
j) Nausea or vomiting
k) Diarrhea

Guidelines based on alert level

LEVEL 4 and 5:
● No physical interactions. The Intramurals 2023 will be in virtual set-up or postponed until
further notice. All activities will undergo virtual setup because face-to-face interaction in
level 4 & 5 is not allowed.

LEVEL 3:
● 30% venue capacity
● Limited number of committees
● Candidates and staff will be given a schedule when to monitor and practice on the venue.

LEVEL 2:
● 50% venue capacity

LEVEL 1:
● 18 below and 65 above now allowed as long as with proper PPE

SIGN AND SYMPTOMS OF MONKEYPOX:

If a person is having any of the symptoms below please refrain from participating in physical
practices for the event. Rest and recover until further notice or as the symptoms disappear.
Failure to follow will lead to disqualification for putting the people involved at risk.

The most common symptoms of monkeypox include fever, headache, muscle aches, back pain,
low energy, and swollen lymph nodes. This is followed or accompanied by the development
of a rash which can last for two to three weeks. The rash can be found on the face, palms of the
hands, soles of the feet, eyes, mouth, throat, groin, and genital and/or anal regions of the body. The
number of lesions can range from one to several thousand. Lesions begin flat, then fill with liquid
before they crust over, dry up and fall off, with a fresh layer of skin forming underneath.
III. CERTIFICATION AND WARRANTY OF INFORMATION/STATEMENT

1. I certify that all of the following information/data and/or matters indicated in this Application Form
and such documents attached hereto are true, and that there are no false statements,
misrepresentations or omissions herein.

2. I further certify my Eligibility to Participate as stated in the Article 1 of the Revised Intramurals
rules and regulations:
Sec 1. All participants must be University of Makati students enrolled in 1st Semester
Academic Year 2022-2023
Sec 2. Sex will be the sole basis of categorization of each and every sporting events.
Sec. 3. All participants must submit a waiver prior to participating in our Intramural Sports
Program. A duly signed waiver must be submitted for every sport the participant wishes to
participate in.
(1): Students under the age of 18 may participate in our Intramural Sports Program
but must provide a consent form signed by their guardian.

Sec. 4. Participants in any sporting events under UMAK Intramurals 2022 should be by the
college.
(1): Each college including the HSU is only allowed to not have representatives in a
maximum of 3 sporting events.

Sec. 5. UMAK Athletes are not restricted to participate in the intramurals hence, they
cannot join in their specific sporting event.
(1): “X” players are allowed to join any sports category if proven that they are not a
UMAK Athlete.

Sec. 6. Anyone who is part of the working committee is not allowed to participate in all
sporting events for the Intramurals.
(1): Filing of LOA for student leaders who want to participate in the event is a must
1-2 weeks prior to the scheduled screening.

Sec. 7. Participants are required to submit all the necessary requirements below on their
respective schedule of submission otherwise their entry will be voided.

(1): Registration Form

(2): Profiling of participants
(3): Health Declaration Form
(4): Consent and Agreement form & Waiver
(5): Certificate of Registration
(6): Signed general rules and regulations of the Intramurals 2022

Sec. 8. Participants are only allowed to join 1 sporting category among the given 5 sporting
events.
Sec. 9. In any team sporting event such as Volleyball and Basketball, (both men’s and
women’s categories) a minimum of 8 players is enough to validate their rights to create a
team that will represent their college.

Sec. 10. Every individual will go through screening hence, it will not guarantee that every
aspiring participant will be allowed to participate in the Intramurals 2022. If the Screening
Committee and/or Panel can find a valid ground/s to void the application, therefore it can
be nullified.

(1): Health Conditions.

(2): Forging of any documents required.
(3): Forging any personal information in any documents required.

3. I hereby authorize USC to verify the truth of all my assertions herein and the genuineness/validity
of all documents I have submitted, thereby waiving for these purposes the provisions of all laws,
rules and regulations, inside or outside the campus, relating to the privacy or confidentiality of the
matters hereunder.

4. I warrant that the documents I have submitted are public documents in my possession or which
came into my possession legally and/or are public documents attested to by the officer/s having the
legal custody of the records, and that, where applicable, the entries therein were made in the
regular performance of an official duty, and that I will hold USC free and harmless from any breach
of this warranty.

OTHER REVISED RULES AND REGULATIONS OF INTRAMURALS 2023:

Article 2: Proper Sports Attire

Sec 1. Athletic Attire: All participants must wear athletic attire. jeans and denim shorts are
prohibited.
Sec 2. Athletic Footwear: Non-marking shoes are required to be worn inside the venues.
No Rubber Shoes No Play Policy.
Sec 3. Participants must wear the necessary protective equipment for their sporting events.
(e.g knee pads, elbow pads), No protective gears no play.
Sec 4. Each college must wear the assigned color for their department at all sporting
competitions.
Sec. 5. The athletic wear, athletic shoes, protective gear, and other necessary things required in
each sport must be provided by the participants.

Article 3: Grounds for Disqualifications

Section 1: Any team that allows an ineligible participant to play on their team will be
automatically disqualified from the competition.

Sec. 2. All participants are required to be at the venue 30 minutes before the scheduled game. The
grace period for accepting late participants is only 15 minutes.

(1): If the team has an incomplete number of players, the late players will not be allowed to
participate in the said sporting event as a sanction
(2): On a solo and duo sporting event, the late player will be automatically disqualified, and their
opponent will move on to the next round of the competition instead. If both players are late,
none of them will move on to the next round of the competition.

Sec. 3. Participants should submit all the requirements with the complete forms on the list
provided in Article 1, Section 6 of Eligibility to Participate. Otherwise, they will not be allowed to
play in any sporting events. The application of anyone with incomplete requirements will
automatically be voided.

Article 4: Sportsmanship and Conduct

Sec 1. No participant, coach, or team follower shall:

(1) Use foul or derogatory language, threaten, or verbally abuse any other
participant, Intramural Official(s)/Coordinator, coach, or team follower before,
during, or after the game.
(2) Argues or fights with any other, participant, Intramural
Official(s)/Specialist/Coordinator, coach or team follower before, during, or after the
game.
(3) Intentionally strikes, push, trip, or otherwise physically assault another participant,
Intramural Official(s)/Specialist/Coordinator, coach, or team follower before,
during, or after the game.
(4) Mistreating the facility, equipment, or supplies of the school will be submitted
to disciplinary action.

Sec. 2. Any participant, who has been drinking alcohol, taking drugs, or any form of substance
abuse will be removed from the game and will be automatically disqualified.

Sec. 3. Any participant playing in a manner that is endangering other intramural sports and/or
participants, will be removed from the game and will be automatically disqualified.

Sec. 4. Starting on the day of the scheduled screening, during, and after the Intramurals 2022,
participants and committees are not allowed to post or publicize any malicious content and
confidential information using their social media profiles which will result in tarnishing other
participants and committees’ image and the image of the event as well. Disobedience towards
this rule will automatically become a subject for disqualification and a separate complaint will be
submitted to the Prefect of Discipline with the grounds of Cyber Libel and/or Slander.

Sec. 5. All concerns, appeals, queries, and other matters with regard to the event should only be
raised to the Jury of Appeals.
IV. UNDERSTANDING OF CONDITIONS

1. I understand that I am applying as a participant in the Intramurals 2023 and that the
requirements and/or limitations with regard to age, height, residency, and report grades may vary,
that accordingly my qualifications are further subject thereto.

2. I am aware that USC, in its sole discretion, may require me to submit additional and sufficient
proof of age, height, residency, report of grades, health and other documentation/information
regarding my qualifications. Should I be required to do so, I undertake to provide USC with such
requested documentation/information, and failing to comply within the period to submit, as
determined by USC, I understand that my application will not be considered complete and
submitted.

3. I understand that I have to pass the screening and meet all the requirements and qualifications
of USC before I can qualify as a participant in the Intramurals 2023. I further understand that the
basic requirements relate to information obtained from me as contained in this Application Form.

4. In considering my application to be a participant in the Intramurals 2023, I agree that all issues
relating to my eligibility as an applicant shall be determined solely by USC and that I shall abide
by its determination, which shall be final and non-appealable.

5. I am aware that if I have been chosen as an official participant in Intramurals 2023, I have no
intention to withdraw to this competition, if I do so, I will undertake sufficient sanction given by the
USC.

6. In filling out and signing this Application Form, I further understand that USC is under no
obligation to accept me as a participant. My acceptance as an official participant shall commence
only when I am formally and specially notified thereof by USC.

7. If I am chosen as an official participant, this Application Form shall be considered part and
parcel of the Official Entry Form/Contract which I shall be required to sign.

8. I understand that in signing this Application Form, I have accepted the sole discretion of USC
to accept or reject me as a participant in the Intramurals 2023 and that the decision of USC on
this application is final and non-appealable.

9. I finally certify that I have read this Application Form carefully, that I have understood the same,
and that no promises or representations were made to induce me to sign this Application Form.

Applicant’s Signature over Printed Name Date

Signature/s above printed names of parent/s (or of Legal Guardian, if applicant is a minor:)

FATHER _____________________________ Date _________________

MOTHER _____________________________ Date _________________

LEGAL GUARDIAN _____________________________ Date _________________

Approved:

MS. ANGELICA MAE CASTILLO

College of Human Kinetics
Intramurals 2023 Over-all Production Head
University Student Council

Date: _______________

MS. ALEXANDRA A. ROSARIA

College of Science
Student Regent - President
University Student Council

Date: _____________