PSMOC REG FORM.cdr

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: [email protected]
[email protected]
REGISTRATION FORM
FOR HANDGUN
REGISTRATION FORM
FOR HANDGUN
Shooter’s #
Date:
Shooter’s PIN #
Shooter’s PIN #
Shooter Name:
Address:
Address:
Email Add:
Shooter’s #
Date:
Shooter Name:
Cell #:
Email Address: [email protected]
[email protected]
Cell #:
Email Add:
FIREARM DIVISION
FIREARM DIVISION
Unlimited Division
Stock Hi-Cap Division
Single Stock Division
Unlimited Division
Stock Hi-Cap Division
Single Stock Division
Limited Division
Double Action/Striker Fired
Revolver Division
Limited Division
Double Action/Striker Fired
Revolver Division
Junior Category
Super Senior Category
Senior Category
Junior Category
Super Senior Category
Senior Category
Lady Category
Lawman Category
Match Officer
Lady Category
Lawman Category
Match Officer
Civillan
Active Match Officer
International
Civillan
Active Match Officer
International
CATEGORIES
CATEGORIES
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, RANGE 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, RANGE 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