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REGION

DIVISION

EVENT

Coach
Assistant Coach Chaperon

athlete athlete athlete

NAME OF ATHLETE
LRN /SCHOOL ID. NUMBER
DATE OF BIRTH
SCHOOL

athlete athlete athlete

NAME OF ATHLETE
LRN /SCHOOL ID. NUMBER
DATE OF BIRTH
SCHOOL

athlete athlete athlete

NAME OF ATHLETE
LRN /SCHOOL ID. NUMBER
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER
REGION

DIVISION

EVENT

CERTIFICATE OF EMPLOYMENT
AFFIDAVIT / SWORN STATEMENT
PERSONAL DATA SHEET
MEDICAL CERTIFICATE
Coach Assistant Coach
RELEVANT SPORTS TRAINING
TRACK RECORD
EDUC. & PROF'L BACKGROUND
MEMBERSHIP IN RELEVANT SPORTS ASSN.
LICENSE OR CERT. OF SSS CONT. (PRIVATE)
NAME
CONTACT NUMBER
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN /BEIS NO.
CONTACT NUMBER
DATE OF BIRTH
SCHOOL

NAME
CONTACT NUMBER
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN /BEIS NO.
CONTACT NUMBER
DATE OF BIRTH
SCHOOL

NAME
CONTACT NUMBER
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED
NAME OF ATHLETE
LRN /BEIS NO.
CONTACT NUMBER
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER
REGION

DIVISION

EVENT

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE/LRN
LEARNER REFERENCE NUMBER/SCH. ID NUMBER
DATE OF BIRTH
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE/LRN
LEARNERS REFERENCE NUMBER (LRN)
DATE OF BIRTH
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE/LRN
LEARNERS REFERENCE NUMBER (LRN)
DATE OF BIRTH
SCHOOL

AR - 1
NSO
FORM - 137
athlete athlete
CERTIFICATE OF ENROLMENT
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE/LRN
LEARNERS REFERENCE NUMBER (LRN)
DATE OF BIRTH
SCHOOL

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