Lorenzian Youth: Beloved, Gifted, Empowered

CLUSTER YOUTH FESTIVAL 2019

San Lorenzo Ruiz Parish- Parish Youth Apostolate (PYA)
2019 October 25-27 I Barangay Lapuan, Don Marcelino, Davao Occidental
PLEASE READ: As an CYF Pilgrim, you are asked to accomplish this IRF com-

IRF
pletely, providing truthful information. Read the form fully and carefully be-
fore answering particularly Part D: “Authorization Waiver”.

When ready, write neatly and legibly , using BLOCK letters. Submit your ac-
complished IRF to your Delegation Head, who should submit to the CYF 2019
Organizers all the IRFs in your delegation not later than 2019 October 1. INDIVIDUAL REGISTRATION FORM

A. ORIGIN

Zone GKK

B. PERSONAL DETAILS

MR.
MS.

Title Last Name First Name M.I Nickname

Birth Year Birth Month Birthday Working Email Address Contact Number Role in Ministry

Home Address

C.CONTACT PERSON ( IN CASE OF EMERGENCY)

Full Name Relation to You Contact Number

D. AUTHORIZATION AND WAIVER

Each CYF 2019 delegate must personally sign this Authorization and Waiver. If the delegate is a minor ( i.e. between 13 -17
years of age by the date of CYF 2019), this this must be signed by either of his/her parent or by his/herb legal guardian.
I, ________________________________________, a citizen of the REPUBLIC OF THE PHILIPPINES, of legal age, a resi-
dent of ______________________________________________________________________, do hereby depose and
state that:
I freely and voluntarily applied as a participant to the CLUSTER YOUTH FESTIVAL (CYF 2019) to be held on
2019 October 25-27 in Barangay Lapuan, Don Marcelino, Davao Occidental;
I have fully read and understood the CYF2019 and promise to faithfully adhere to all the guidelines stated therein
and comply with all requirements, as well as to those to be given by the Organizers and my Delegation Head and
Assistant Head.
I confirm that all information herein are correct and accurate to the best of my knowledge, and I authorize the
CYF2019 Organizers to use with discretion the information contained herein as they deem necessary and legiti
mate;
As a participant, I commit to attend all the CYF2019 events, from its commencement until conclusion;
I shall exercise extraordinary diligence, as that of a good father in his family, to prevent injury to myself and to my
fellow participants and to the Organizers and volunteers;
I hereby waive, release and discharge the CYF2019 Organizers from any and all liabilities that can occur as a result
of my actions during this event.

I affix my signature below to certify that I have read this waiver and that I fully understand its content

Full Name Signature Date

F. ATTESTED BY DELEGATION HEAD

Full Name of Delegation Head Signature