:A`U`lA` lABATAA`

`ABAAlA`, lACA\, llC: `CRTl

:A\AV lABATAA` :TRllTlA`l BATTll !Cll
Registration Form

Croup name
Croup Pead/8epresenLaLlve ConLacL no
Address
Members
name ConLacL no name ConLacL no








uescrlpLlon of Lhe Croup
AchlevemenLs

Sayaw kabataan Streetdance 8att|e 2011
kLCLI1
(Crganlzer's Copy)
1hls ls Lo cerLlfy LhaL an amounL of hp 30000 was
collecLed from _______________________ whlch
serves as Lhelr reglsLraLlon fee ln Lhe Sayaw
kabaLaan SLreeLdabce 8aLLle 2011

8ecelved uaLe

8ecelved by


SlgnaLure




Sayaw kabataan Streetdance 8att|e 2011
kLCLI1
(Croup's Copy)
1hls ls Lo cerLlfy LhaL an amounL of hp 30000 was
collecLed from _______________________ whlch
serves as Lhelr reglsLraLlon fee ln Lhe Sayaw
kabaLaan SLreeLdabce 8aLLle 2011

8ecelved uaLe

8ecelved by


SlgnaLure


*CuLLhls parL upon paymenL!