Republic of the Philippines

Department of Education
Region III
Division of Tarla City
Tarlac National High School
YOUTH FOR ENVIRONMENT IN SCHOOLS ORGANIZATION (YES-O)
School Year 2019-2020
MEMBERSHIP FORM INSERT 1x1

PICTURE

HERE
I. GENERAL INFORMATION
Last Name First Name M.I. Nickname

Home Address

Contact Number/s Email Address

Father’s Name Contact Number

Mother’s Name Contact Number

II. EDUCATION LEVEL

Grade and Section Class Adviser

Membership in Other Organization/s Position/s Held Year

Other Co-Curricular Activities Available Time for YES-O

PARENTS’S/GUARDIAN’S SIGNATURE

I/We ______________________________ hereby permit my son/daughter ________________________________ to join

the Youth for Environment in Schools Organization (YES-O). We also promise to support him/her, financially or otherwise, in all
undertakings related to the organization’s mandated programs, projects and activities.
I/We hereby approve this application and certify to its correctness in consideration of the benefits to be derived, we
expressly waive any and all clams against YES Oranization on any account of YES-O Advisers and officers provided adequate
measures and precautious have been instituted in connection with the participation my/our child in any activities.
I/We are also aware that the YES-O’s registration fee of my/our child is P 50.00 and this will be transmitted to YES-O
Collection.

Parent/Guardian
(Do not fill up below this line) (Signature Over Printed Name)
(To be filled up by the Yes-O Advisers ONLY)

Recommending Approval: Approved:

Yes-O Adviser School Head

(Signature Over Printed Name) (Signature Over Printed Name)