July 10, 2023

____________________
____________________
____________________

Sir/Ma’am,
Greetings!

We are excited to invite you to our upcoming 1ST MAYOR DAREL DEXTER T. UY MINDANAO
ARNIS TOURNAMENT 2023 which will take place from September 22-24, 2023, at the Dipolog City Olingan
Sports Complex. We are expecting 100 to 200 players to participate in the said competition.
This tournament is open to martial artists of all levels, skill sets, and ages. We aim to provide a unique
experience for every participant, where they could showcase their skills, learn in a competitive environment, and
make new friends.
The tournament will feature a range of competitions catering to various skill sets, from beginners to
experts, who will have the chance to compete in non-traditional and traditional Arnis Weapon Forms
Competitions, and Padded Point Sparring Matches.
We are delighted to host this event and excited to share this fantastic opportunity with you. We are
confident you will have a memorable experience, meet new friends, and learn something new.
Please do not hesitate to contact us at 09753102056 or 09101990566, if you have any questions or queries!
Thank you for considering our invitation, and we look forward to seeing you soon!

Respectfully,

GM REY JOHN T. PALMA

ONE DREAM THUNDER ARNIS CLUB PRESIDENT
 Personal information
Last Name:_____________________________ First Name: ______________________________________
Place of Birth ______________________________ Date of Birth (MM/DD/YY): ________________________
Full Address:_______________________________________________________________________________
Nationality:_____________________________ Delegation:_________________________________________
Email:_____________________________________ Phone Number:_______________________________
Emergency Contact

Contact Person:___________________________ Relationship:_________________________________

Phone Number: ____________________________________
Do you have any infectious diseases? ( e.g. HIV, AIDS) (Yes or No): __________________________
Do you suffer from any breathing or lung problems? (e.g. Asthma) (Yes or No):__________________
Do you currently have any other injuries from the past that might get worse or medical conditions that might
make it difficult for you to compete in tournaments? If so, please be specific: _____________________
_________________________________________________________________________________

Tournament Details
Last Name:_____________________________ First Name: ______________________________________

Age: _______ Height:_________ Weight:___________ Delegation:_________________________

Club/School:_______________________ Style/System:_______________________________________

500 PHP for up to 3 categories | 200 PHP per individual/additional

event | For Inquirees please contact: 09101990566
I will participate in the following (tick only four ):

 Individual Single Weapon Form

 Individual Double Open Weapon Form
 Team (Synchronized) Likha Anyo Double Open Weapon Replica
 Team (Synchronized) Likha Anyo Single Weapon
 Theatrical/ Team Sayaw
 Padded Point Sparring

Deadline for registration will be:: July 18, 2023

 TEAM ENTRY FORM
TEAM

1. TRADITIONAL ANYO FORMS

a. 12 YEARS OLD AND UNDER AGE BRACKET

EVENTS BOYS GIRLS

1. 1.
INDIVIDUAL SINGLE WEAPON
FORM 2. 2.

1. 1.
INDIVIDUAL DOUBLE OPEN
WEAPON REPLICA 2. 2.

b. 13 to 18 YEARS OLD AGE BRACKET

EVENTS BOYS GIRLS

1. 1.
INDIVIDUAL SINGLE WEAPON
FORM 2. 2.

1. 1.
INDIVIDUAL DOUBLE OPEN
WEAPON FORM 2. 2.

2. NON-TRADITIONAL ANYO FORMS

a. 12 YEARS OLD AND UNDER AGE BRACKET

1. 1.
TEAM SYNCHRONIZED SINGLE
WEAPON FORM
2. 2.
3. 3.

1. 1.
TEAM SYNCHRONIZED DOUBLE
OPEN WEAPON REPLICA
2. 2.
3. 3.

b. 13 to 18 YEARS OLD AGE BRACKET

1. 1.
TEAM SYNCHRONIZED SINGLE
WEAPON FORM
2. 2.
3. 3.
 1. 1.
TEAM SYNCHRONIZED DOUBLE
OPEN WEAPON REPLICA
2. 2.
3. 3.

3. FULL CONTACT (PADDED POINT SPARRING)

a. 13 to 18 YEAS OLD AGE BRACKET

MALE FEMALE
43 kg up to 47 kg 37 kg up to 40 kg
1. PINWEIGHT 1. 1.

Over 47 kg up to 51 kg Over 40 kg up to 44 kg
2. BANTAMWEIGHT
1. 1.

Over 51 kg up to 55 kg Over 44 kg up to 48 kg
3. FEATHERWEIGHT
1. 1.

Over 55 kg up to 60 kg Over 48 kg up to 52 kg
4. EXTRA LIGHTWEIGHT
1. 1.

Over 60 kg up to 65 kg 52 kg and above

5. HALF LIGHTWEIGHT
1. 1.

I hereby certify that all information provided in this form are true and correct. I have fully understood
and agree to the guidelines and its supplemental local guidelines set forth by ODTAC – PEKAF for 1ST MAYOR
DAREL DEXTER T. UY MINDANAO ARNIS TOURNAMENT 2023.

Submitted by:
______________________
Head Coach
(Signature over printed na

Attested by: Received by:

______________________ ______________________
Delegation Head Screening Committee
(Signature over printed name) (Signature over printed name)
 WAIVER OF LIABILITY
In consideration of your accepting this entry, the undersigned, intending to be legally
bound hereby, for myself, heirs, executors, and administrator, contractually waived and release
any and all rights and claims for damages I have against 1ST MAYOR DAREL DEXTER T. UY
MINDANAO ARNIS TOURNAMENT Organizers or any of their appointed assignees for any
and all injuries suffered by me in this tournament. I attest and affirm that I am physically fit and
the same has been verified by a licensed doctor. Furthermore, I hereby grant full permission to
the organizers and/ or their representatives authorized by them to use them to use
photographs, videotapes, or any other records of this event for any legitimate purpose.

Signature:____________________________ Date:________________
(Signature over printed name)

The undersigned, the parents/legal guardian of the above-mentioned has read, understand the
same, and hereby accepts and agrees to the terms, conditions, and provisions of the foregoing
agreement ( kindly affix your signature if the above-mentioned participant is below 18 years old
It is mandatory for all competitions with participants below 18 years old. A copy of Birth
Certificate is also required.)
(for participants below 18 years old)

Name/Signature of Parent/Guardian: ____________________________

Date:________________
(Signature over printed name)

Contact Number;_____________________________