Registration Form

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1st Friendly Wake Competition (sponsored by: Ms. Patsy Zobel de Ayala) October 18, 2014, Saturday (Starts at 8am)

Registration Form

Please send the completed form to the secretariat by e-mail or personally to the Lago de Oro front desk Mobile Numbers: 0917-504-2685 or 0917-504-7525 Email address : [email protected] ŽƌĐŽŶƚĂĐƚƵƐϮΛůĂŐŽͲĚĞͲŽƌŽ͘ĐŽŵ

Surname_ Nickname:

First Name_ Date of birth:

Age:

Address: Mobile phone number:

Home phone number:

Email address:

Gender: Male

Female

Institution (if in school) /Company (if working)_

REGISTRATION FEE : • P1,500.00;KEEdZzKE>zͿƉĞƌĐŽŵƉĞƚŝƚŽƌ ;ůĂƐƚĚĂLJŽĨZĞŐŝƐƚƌĂƚŝŽŶŝƐŽŶKĐƚŽďĞƌϭϱ͕ϮϬϭϰͿ • If you want to register in advance, please fill up the form, print and scan together with the deposit slip and send to our email address ([email protected]) Please deposit the payment to our BPI account (0901-0049-86 VISA , account name as Northern Lights Agri-Aquatic & Resort Development Inc. or Lago De Oro) What you get? • ϯϬ>hĂŐŽĞKƌŽ'ŝĨƚǀŽƵĐŚĞƌƉůƵƐĂ^hZWZ/^ƉƌŝĐĞƐ ƐƉŽŶƐŽƌĞĚďLJDƐWĂƚƐLJŽďĞůĚĞLJĂůĂ • &Z>ĂŐŽĞKƌŽŵĞŵďĞƌƐŚŝƉͬĚŝƐĐŽƵŶƚĐĂƌĚ;WϮϬϬ͘ϬϬĨĞĞĨŽƌŵĞŵďĞƌƐŚŝƉĐĂƌĚͿ • &ZƌŝĚĞƐĞŝƚŚĞƌKĐƚϭϳ&ƌŝĚĂLJŽƌKĐƚϭϵ^ƵŶĚĂLJ͘ • 'ŝǀĞĂǁĂLJƐƐƉŽŶƐŽƌĞĚďLJDƐWĂƚƐLJŽďĞůĚĞLJĂůĂ • &ZƵĨĨĞƚůƵŶĐŚΘŝŶŶĞƌŽŶKĐƚϭϴ͕^ĂƚƵƌĚĂLJ ĨƚĞƌƚŚĞĐŽŵƉĞƚŝƚŝŽŶ͞>d͛^WZdz͟>Ğƚ͛ƐŽ/ƚ͊^dZhDD^ƐŽƵŶĚƐLJƐƚĞŵƉůƵƐ:͛Ɛ DIVISIONS WAKEBOARD

KIDS 14 YEARS & below WOMEN’S NOVICE WOMEN’S ADVANCE WOMEN’S OPEN

MEN’S NOVICE MEN’S ADVANCE MEN’S OPEN

WAKESKATE (MEN & WOMEN)

NOVICE ADVANCE KWE

Signature: Reminder : Waiver Form must be completed.

Date: