Web viewBokod Municipal Tourism Office – Cell # 09499757459 – Email Add:...
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Republic of the Philippines Province of Benguet MUNICIPALITY OF BOKOD 1 st Mt. Purgatory Mangisi Traverse “A Traverse for Environmental Awareness, Promotion & Protection” Registration Form Name: ___________________________________________________________________________ _____ Surname First Name Middle Name Nickname: ___________ Age: ____ Gender: _____ Religious Affiliation : ________________________ Address: ___________________________________________________________________________ ______ No. of Street/Barangay City/Town Province (State) Country Date of Birth : __________________ Occupation : _____________ Cellphone Number: _______________ Month - Date - Year Name and Address of Organization (if any) : ___________________________________________________ Person to Contact in case of Emergency : Name : ______________________________________________ Relationship : _______________ Address : ____________________________________________ Contact Number : _______________ Do you need a porter ? Yes _______ No _______ If yes, how many ? ______________ Waiver I am joining the “1 st Mt. Purgatory Mangisi Invitational Traverse” in Bokod, Benguet scheduled on April 13 - 15 , 2012 on my free will and I solely and exclusively assume all risk and dangers which I may be exposed to for the duration of the activity and I therefore discharge, waive and absolutely extinguish the organizers and all its cooperation agencies/entities from any responsibility.
Transcript of Web viewBokod Municipal Tourism Office – Cell # 09499757459 – Email Add:...
Republic of the PhilippinesProvince of Benguet
MUNICIPALITY OF BOKOD
1st Mt. Purgatory Mangisi Traverse“A Traverse for Environmental
Awareness, Promotion & Protection”
Registration Form Name: ________________________________________________________________________________ Surname First Name Middle Name Nickname: ___________ Age: ____ Gender: _____ Religious Affiliation : ________________________
Address: _________________________________________________________________________________ No. of Street/Barangay City/Town Province (State) Country
Date of Birth : __________________ Occupation : _____________ Cellphone Number: _______________ Month - Date - YearName and Address of Organization (if any) : ___________________________________________________Person to Contact in case of Emergency : Name : ______________________________________________ Relationship : _______________Address : ____________________________________________ Contact Number : _______________Do you need a porter ? Yes _______ No _______ If yes, how many ? ______________
WaiverI am joining the “1st Mt. Purgatory Mangisi Invitational Traverse” in Bokod, Benguet
scheduled on April 13 - 15 , 2012 on my free will and I solely and exclusively assume all risk and dangers which I may be exposed to for the duration of the activity and I therefore discharge, waive and absolutely extinguish the organizers and all its cooperation agencies/entities from any responsibility.
Correspondingly, I hereby grant permission to the cooperating organizers to use my name , likeness and identity in any photographs , motion pictures, television programs , or any other record of the event in perpetuity throughout the world in any media now known or hereafter developed.
__________________________________________ Participant’s Signature and Date Accomplished
Registration Fee : P 1,500.00 (Inclusive of transportation (vice versa), t-shirt, souvenir items, certificate, dinner on the two nights and lunch on the third day).
Porters Fee : P 500.00 per day (not included in the registration fee, prior reservation is necessary with a maxi- mum load of 25 kilograms).
What to Bring : Tent , sleeping bag, food (3 meals), trail foods, cooking sets, flashlight/headlamps, extra batteries, first aid kits, garbage bag, water and water container, raincoats (for unexpec- ted rain showers) and other mountaineering gears.
* Payments can be made at the Bokod Municipal Tourism Office, Poblacion, Bokod, Benguet or at the Provincial Tourism Office, Benguet Capitol, La Trinidad, Benguet.
For more information and inquiries, visit or contact : Bokod Municipal Tourism Office – Cell # 09499757459 – Email Add: [email protected] Tourism Office, Capitol, La Trinidad, Benguet – Telefax # : (074) – 422 – 1116.
Republic of the PhilippinesProvince of Benguet
MUNICIPALITY OF BOKOD
1st Mt. Purgatory Mangisi Traverse“A Traverse for Environmental
Awareness, Promotion & Protection”
