Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila Website: www.psmoc.org.ph Contact No.: (Globe) 09158150927, (Sun) 09226904704 Website: www.psmoc.org.ph Contact No.: (Globe) 09158150927, (Sun) 09226904704 Email Address: psmoc@psmoc.org.ph psmoc15@gmail.com REGISTRATION FORM Email Address: psmoc@psmoc.org.ph psmoc15@gmail.com REGISTRATION FORM Shooter’s # DATE: Shooter’s PIN # Shooter’s # DATE: Shooter’s PIN # Shooter Name: Shooter Name: Address: Address: Cell #: Email Add: Cell #: Email Add: check( ) to select check( ) to select MATCH DIVISION 3*GUN NATION UNLIMITED 2 - GUN MATCH DIVISION 3*GUN NATION UNLIMITED 2 - GUN MATCH STOCK MINI - RIFLE MATCH STOCK MINI - RIFLE FIREARM INFORMATION FIREARM INFORMATION KIND MAKE MODEL KIND MAKE MODEL CALIBER F/A LICENSE # SERIAL # CALIBER F/A LICENSE # SERIAL # WAIVER WAIVER I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL, COMPETITION ORGANIZERS, STAFF, MATCH OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION AND / OR REMOVAL FROM THE COMPETITION GROUND. I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL, COMPETITION ORGANIZERS, STAFF, MATCH OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION AND / OR REMOVAL FROM THE COMPETITION GROUND. IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________ 20________ AT______________________________, PHILIPPINES. IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________ 20________ AT______________________________, PHILIPPINES. Shooter’s Signature Shooter’s Signature
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