Philippine Mind Sports Association
6th Philippine International Open Memory Championship 2019
July 13 -14, 2019
Metro Manila, Philippines
Email address *
Competitor's Registration Form
Full Name *
(The name you want to appear on your Certificate)
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Category (Kids, Juniors, Adults) *
(KIDS - 12 years or under in the calendar year of the competition; JUNIOR - 13 to 17 years old in the calendar year of the competition; ADULT - 18 to 59 yrs old in the calendar year of the competition; SENIOR - 60 and above)
Country Represented *
Your answer
Address *
Your answer
Contact Numbers *
(Please indicate country code)
Your answer
Which language do you want to compete in Names and Faces? *
Which language do you want to compete in Words and Historic Dates? *
Number of Pages requested for 5 Minute Random Images: *
(10 Rows, 50 images per page). If requesting more than 5 Pages, type the number of Pages in "Other"
Number of decks to memorize in 10 Minute Cards: *
(This will identify the number of pages we will give you during the competition)
Your answer
Have you joined any Memory Championships before?
(If yes, list the last two championships you have participated)
Your answer
Have you received the GMM, IMM or IGM Title before? If Yes, click your Title below
Have you received a Memory Practitioner Title before?
(If Yes, click "Other" and indicate the last Level you have achieved). *Note: Only those who have not reached the GMM, IGM or IMM are eligible for the Memory Practitioner Title for Beginners. Those who will achieve the criteria higher than their previous level can get a medal. ---- Info about the Memory Practitioner Titles can be found here: https://www.asia-memory.org/pr_list.php
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Please enter additional info you would like to request.
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A copy of your responses will be emailed to the address you provided.
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