8/12/2019 MLO RegistrationForm 2013.PDF 3

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DECLARATION OF FITNESS AND WAIVER

I, _______________________________________, with postal and residence _____________________________________________________ hereby confirm and d

1. I am participating in the MILO® Little Olympics to be held on ____________________________at _____________________________________,of my own free will, desire, and volitio

2. I hereby represent and warrant that I am physically fit to participate and take part in the ® Little Olympics and hknown illness, physical defect, or adverse medical condition that would render me unfi® LittleOlympics. Should I subsequently discover any illness, physical defect, or adverse medicato participate in the MILO® Little Olympics, I shall advise the Organizer in writing and I shalparticipating in any event of the MILO® Little Olympics. Should I qualify, I shall represent my reg® LittleOlympics National Finals which will be held on _________________ at ____________

3. I hereby authorize the Organizer and/ or Event Sponsor to use my name, photographs, v with the MILO® Little Olympics in broadcast and print media, videotapes, etc. without any mo

4. I understand that if and when my identity is challenged by the Organizer, it is my respon5. I acknowledge that the MILO® Little Olympics is conducted and managed solely by the organizer

Phils., Inc. is the sponsor of the MILO® Little Olympics but is not involved in the activity’s conduct oformulation and implementation of the rules governing the Activity.

6. I agree to abide by the decision of the Organizer on any issue relative to my participat® Little Olympiincluding but not limited to official calls and the interpretation of rules governing the Adecision of the Organizer regarding any dispute over such rules or regarding the manner

7. I shall hold the Organizer, Publicis-Manila, Inc., PR Agency, Manpower Agency, and tharmless from any and all claims arising from any accident, damage, injury, illness, deathof my participation in the MILO® Little Olympics

I hereby declare that I have read and understood this Declaration of Fitness and Waiver and willingly and voluntarily.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ____________________________________.

__________________________(Printed Name and Signature) STUDENT

I, ___________________, hereby represent that I am the parent/guardian of ____________given my consent for him/her to join and participate in the MILO® Little Olympics. I hereby certify that my saphysically, mentally and psychologically fit to participate in the said MILO® Little Olympics. In case he/she will quamy child/ward to participate in the MILO® Little Olympics National Finals which will__________________________ at ________________________.

__________________________________________(Parents/Guardian’s Printed Name and Signature)

I, __________________, hereby certify that I have examined _____________ and I find hparticipate in the MILO® Little Olympics.

___________________________________________(Medical Doctor’s Printed Name and S ignature)

We hereby certify under the penalty of perjury that the above entries of data are true and corcomplied with the tournament manager rules and guidelines set forth by the Organizing Com® Little Olympand is therefore qualified to play in said event.

____________________________________________(School Head/Team Coach’s Printed Name and Signature)

Please submit this form immediately to the Secretariat Office of the Organizer.

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L I T T L E C H A M P I O N S , B I G D R E A M S

8/12/2019 MLO RegistrationForm 2013.PDF 3

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2013 MILO® LITTLE OLYMPICS RULES AND REGULATIONS

1. The MILO® LITTLE OLYMPICS is the DEVELOPMENTAL version of the Summer Olympic Games and is open toschool-based teams comprising of male or female students, in the elementary and high school levels of publicand private schools in the Phili ppines. Individuals or sports clubs/groups are not qualified.

2. The MILO® LITTLE OLYMPICS features thirteen (13) sporting events:

3. The competitions are divided into two (2) Levels:

a. The 12 and under division for elementary students aged 7-12 (Grades 1-6)b. The 17 and under division for high school for boys and girls aged 13-17 (Grades 7-12)

4. A SCHOOL MUST ENTER IN A MINIMUM OF THREE (3) SPORTING EVENTS PER LEVEL IN ORDER TO BE ACCEPTEDIN THE MILO® LITTLE OLYMPICS.

5. Interested teams are required to pay a non-refundable entry fee per team entry, per sport, per level:

Entry Fee per Sport:

6. All participants are required to submit an original and a photocopy of their NSO Birth Certificate, Form 137 orForm 138 plus one (1) empty MILO® 22g pack along with the accomplished and signed official registrationform.

7. All participants must seek their parental/guardian consent and fill out the portion in the registration form where the parent/guardian, physician and school head/team coach are required to sign.

8. Individuals/teams who fail to complete the required documents on the set deadline shall automatically bedisqualified by the Event Organizer.

NOTE: REGISTRATION IS ON A FIRST-COME, FIRST-SERVED BASIS. ONLY SCHOOL TEAMS WITH COMPLETEREQUIREMENTS WILL BE ACCOMMODATED.

9. The Schedule of Activities will be as follows:

10. The Sponsor and Event Organizer will not be held responsible for any or all injuries an athlete may sustainbefore, during and after competition. However, in case of injuries, first-aid will be provided for theparticipants during competition.

11. Gold, Silver and Bronze medals will be awarded to the winning individuals/schools. The Gold medal winners will be qualified to participate in the MILO® Little Olympics National Finals.

12. In case of typhoon or other natural calamities, the Event Organizer shall have the right to determine whetherall games will be cancelled or moved to a later date with due notice to the heads of schools or authorizedcoaches.

13. Event Organizer reserves the right to modify any of the above rules and regulations as it deems necessary toensure the success of the MILO® Little Olympics.

2013 MILO® LITTLE OLYMPICS ELIGIBILITY RULES

1. The MILO® Little Olympics competition is open to all bona fide students currently enrolled in Elementary andHigh School levels of the official list of participating schools.

1.1. Elementary students must compete in the Elementary Level only. Participants must be between 7 to 12years old. The cut-off year of birth is 2001.

1.2. High School students must compete in the High School Level only. The age li mit for High School athletesis 17 years old. The cut-off year of birth is 1996.

2. Student-athletes found to have violated the Eligibility Rules shall be prohibited in participating in all futureMILO® events. The player forfeits his standing in the individual events, or in case of team events, his/herteam forfeits all games he/she had played in.

3. The Event Organizer reserves the right to disqualify any school which commits any act detrimental to theMILO® Little Olympics.

4. The Event Organizer reserves the right to accept or deny participants, modify any of the above rules andregulations as it deems necessary to ensure the success of the MILO® Little Olympics.

SIDE EVENTS:Miss MILO® Little OlympicsBiggest School Delegation CompetitionInter-School Loudest Cheer CompetitionInter-School Marching Parade and Saludo CompetitionMost Disciplined School DelegationInter-School Cheer Dance Competition

Note: For complete mechanics, visit www.milo.com.ph

1. Athletics (Boys/Girls)2. Badminton (Boys/Girls)3. Basketball (Boys)4. Chess (Boys/Girls)5. Football (Boys)6. Gymnastics (Boys/Girls)7. Scrabble (Mixed)

8. Sipa (Elementary Boys) & Sepak Takraw (HS Boys)9. Swimming (Boys/Girls)10. Table Tennis (Boys/Girls)11. Taekwondo (Boys/Girls)12. Tennis (Boys/Girls)13. Volleyball (Boys/Girls)

In partnership with:

LITTLE CHAMPIONBIG DREAM

MLO LEG REGISTRATION CENTER ORGANIZER CONTACT NUMBERVISAYAS CEBU CITY SPORTS COMPLEX MR. RICKY BALLESTEROS 0920-908-9742MINDANAO DON GREGORIO PELAEZ SPORTS COMPLEX MR. MEGDONIO LLAMERA 0917-912-2857NCR MARIKINA SPORTS PARK PROF. ROBERT CALO 0917-806-5554LUZON BAGUIO CITY ATHLETIC BOWL MS. TESS BERNARDINO 0917-565-5214

2013 MILO® LITTLE OLYMPICS REGISTRATION CENTERS

MLO LEG REGISTRATION PERIOD EVENT SCHEDULE REGISTRATION / TOURNAMENT VENUEVISAYAS JUL 2 - AUG 9 AUG 16 - 18 & 24 - 25 CEBU CITY SPORTS COMPLEXMINDANAO JUL 9 - AUG 16 AUG 23 - 25 DON GREGORIO PELAEZ SPORTS COMPLEXNCR JUL 16 - AUG 23 AUG 30-SEPT 1 & SEPT 7-8 MARIKINA SPORTS PARKLUZON JUL 23 - AUG 30 SEP 6 - 8 BAGUIO CITY ATHLETIC BOWLNATIONAL FINALS FOR QUALIFIERS ONLY OCT 25 - 27 CEBU CITY SPORTS COMPLEX

ATHLETICSBADMINTONCHESSGYMNASTICS

SCRABBLESIPA/SEPAK TAKRAWSWIMMING TABLE TENNIS

TAEKWONDO TENNIS

BASKETBALL FOOTBALL VOLLEYBALL

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