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CFC - YOUTH FOR CHRIST

Members Information Sheet
This is to be filled up by the participant during the youth camp compiled by the discussion group leader.
Revised 2011.11

Youth Camp Date

Venue

Date 12/9/13
Cluster/Area Program Chapter/Campus/High School

April 24-25, 2010
Area

Sunny Brooke Elementary School
Sector

General Trias

2

D

3

Please Fill-up with the necessary details especially the one inside this box
Family Name Given Name Middle Name Nickname

Palmero
Address

Jahre

Pascua

Jahre

Blk 22A Lot 1 Country Meadow, San Francisco, General Trias, Cavite
Age 19

Birthday
Dec. 20, 1993

KFC to YFC Yes No

School De La Salle University - Dasmarinas Telephone # (landline)

Grade or Year Level 4th year E-mail Address palmero.jahre@gmail.com

Course BS – Computer Engineering

Blood Type AB

Gender Male Female

Cell # 09173023163

Name of Father Pedro J. Palmero, Jr

Occupation Seaman

Father’s Organization (if member of Couples for Christ, pls. indicate sector/chapter) CFC __________________________________________ Name of Mother Imelda P. Palmero Other Org. __________________________________________________________________ Occupation Real Estate Broker

Mother’s Organization (if member of Couples for Christ, pls. indicate sector/chapter) CFC __________________________________________ Name of Person to notify in case of emergency Other Org. __________________________________________________________________ Relationship Contact No.

Imelda P. Palmero

Mother

09152230789

Seminars /Retreats Attended (religious, extracurricular, etc.)

Name of School/Parish Organization

Position / Nature of Service

Special Skills (ex. Playing musical instruments, dancing, singing, etc.) Arts – Drawing, Painting, GFX Design Illness that require special attention