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***Print out form, fill out and submit to Registration Staff on day of event***
DIEHARD 4 REAL ACTION WARGAME
Baghdad-Libis Airsoft Site
Libis, Quezon City
REGISTRATION FEE P3000/6-man Team (P500/Head)
CASH PAYMENT ONLY ON DAY OF EVENT
REGISTRATION FORM
Form No. _________ (for additional teams, simply photocopy this 3-page form)
TEAM CODENAME/DESIGNATION: ……………………………………………………..
TEAM LEADER
Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
TEAM MEMBERS
1. Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
2. Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
3. Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
4. Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
5. Last Name:……………………………………….. Name:……………………………………………….
Rank (If Applicable): …………………………………….. Age:……… Gender:…………
Occupation:………………………………….. Affiliation:…………………………………..
Contact Number: ……………………………… Email: ……………………………………
LIABILITY OF WAIVER
In consideration of your acceptance of my registration, I do hereby for myself and my heirs, executors and administrators waive, release and discharge forever any and all rights and claims for damages which I may have in connection with the DIEHARD 4 RAW tournament, have or incur and those which may be accrued to me against
ATACS Advanced Tactical Training Services, Office of Strategic Services, Baghdad –Libis Airsoft Site, Multiverse A&P and Wave 89.1, the promoters and organizers,
and/or their heirs, the DIEHARD 4 REAL ACTION WARGAME tournament and/or their
employees, the arbitrators, and/or leasees of premise, my personal representatives, assigns, heirs guardians and/or next of kin for any/all damages and any claimor demands therefore on account of injury to the person or property or resulting in the death of the undersigned, whether caused by negligence of releases, accident or otherwise while the undersigned is in or upon the restricted area and/or competing in, observing or working for, or any other purpose participating in this event. I also certify that I have NO MEDICAL CONDITION(S) that may or will cause injury to myself or others by my participation in the DIEHARD 4 REAL ACTION WARGAME tournament. I also waive my rights to any compensation in the event my picture is
used for publicity in connection with the tournament.
SIGNED BY:
TEAM LEADER:________________________ SIGNATURE:_____________________
Team Members
1. ________________________ SIGNATURE:_____________________
2. ________________________ SIGNATURE:_____________________
3. ________________________ SIGNATURE:_____________________
4. ________________________ SIGNATURE:_____________________
5. ________________________ SIGNATURE:_____________________
DATE:________________
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