Republic of the Philippines
Province of Pangasinan
Municipality of Dasol
Barangay Bobonot
WAIVER FORM FOR BASKETBALL LEAGUE
I, the undersigned, as the parent of ___________________________________ do
hereby give my full consent and approval for my child to join and participate in:
Title of the Activity: Basketball 3x3 Midget League
Venue/Address of the Activity: Purok 1 Basketball Court
I agree and understand that participation in basketball involves significant risks or
death associated with participation in community. These risks include the possibility
of very serious injuries which can occur for a variety of reasons. Participants and
parents assume full responsibility for all injuries and damages which may occur in or
at any of Basketball League events.
I/We have read this participation, assumption of risk and agreement, and have
signed it freely and voluntarily without any inducement.
___________________________________ _______________
Player's over printed name and signature Date
________________________________________
Parent/Guardian's over printed name and signature