MembershipForm

Morong Nordic Rollerski Club

Morong, Rizal, Philippines // Pre-Registration Application
Completed form is viewable only by membership coordinators.
Today's Date

JourMoisAnnée
Type of Membership (Please check one)
Personal Information
Full name

First & Middle NamesMiddle NameLast Name
Birthdate / Required to all athletes. / Optional to all others.

MonthDayYear
Address

Street Address

Sitio / Barangay

City / TownProvince / State

Postal / Zip CodeCountry
E-mail
Phone Number

Area Code (+63)Phone Number
Name of Parent or Guardian (If Under 18)

First NameMiddle NameLast Name
Parent or Guardian Email
example@example.com
Parent or Guardian Contact Number

Area CodePhone Number
Photo

Browse Files

Cancelof
Rollerski Equipment Sizing

This will help us on equipment acquisition
Height Height* Shoe / boot (Euro/US) Size Shoe / Boot Size*
Health questionnaire

For Athletes and Roller ski participants ONLY. Please read the questions carefully and answer each one honestly: check YES or NO.

Rows	Yes	No	N/A
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
n the past month, have you had chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Do you know of any other reason why you should not do physical activity?

Volunteership for Athletes, Parents and Supporters

Mandatory to all members.
VOLUNTEER Opportunity for parents and supporters. Volunteering for the club is a great way to grow the sports club, meet people, have fun, and keep the group going. Please check activities you'd like to volunteer for. You may choose as many volunteer activities as you want.

Other
Liability waiver

I am aware of the risks in observing or participating in the activities offered and sponsored by Morong Nordic Roller Ski and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death. I have read, understand, & agree to the abide the Constitution, By-Laws and Policies of Morong Nordic Rollerski Club and Philippine Ski & Snowboard Federation. Please type complete name below as to accept your electronic signature.
Liability Waiver. Please type complete name in box.
Applicant Signature / Parent Signature if under 18
Should be Empty:

Rollerski Equipment Sizing