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Department of Education

Region VI - Western Visayas


Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Kindergarten

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 1 - Rose

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 1 - Daisy

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 2 - Dove

Name of Pupil Name of Parent/Guardian Signature

Region VI - Western Visayas


Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 2 - Maya

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 3 - Tinikling

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 3 - Cariñosa

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 4 - Rizal

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 4 - Mabini

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 5 - Molave

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 5 - Acacia

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 6 - Newton

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 6 - Einstein

Name of Pupil Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 7 - Amethyst

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 7 - Garnet

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 8 - Emerald

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 8 - Moonstone

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 9 - Topaz

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 10 - Diamond

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 10 - Onyx

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 11 - Pearl

Name of Student Name of Parent/Guardian Signature


Region VI - Western Visayas
Division of Aklan
District of Tangalan
JAWILI INTEGRATED SCHOOL
Jawili, Tangalan, Aklan

SCHOOL-BASED HEALTH SERVICES ORIENTATION


Attendance
June 14, 2018

Grade 12 - Turquoise

Name of Student Name of Parent/Guardian Signature

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