Republic of the Philippines

Department of Education
Region III – Central Luzon
Schools Division of Bulacan
DISTRICT OF SAN MIGUEL SOUTH
San Miguel, Bulacan

SUMMARY ENTRY SHEET

Delegation: San Miguel Event: Athletics Elementary Boys

Level: Municipal Sex: Male

Name of Athlete Birth Certificate of Parental Medical

No. AR–3 AR–1 Form 137 Remarks
Certificate Enrolment Consent Certificate
1. Castillo, Norby Jae S.
2. Jerry Russel
3. Baes, Eduardo E.
4. Manio, Rhic Aldrin B.
5. Silvestre, John Louise L.
6. Espiritu, Glizon Andrew Q.
7. Santos, Aldrin D.
8. Aseo, Jun Jun R.
9. Palomo, Railey M.
10. Angulo, Andrei DC.
11. Ong, Micken Nevrik P.
12.

CHECKED AND VERIFIED CORRECT

___________________ SCREENING COMMITTEE

Chairman: __________________________ Member: __________________________ Member: __________________________ Coach: ________________________________

Co-Chairman: _______________________ Member: __________________________ Member: __________________________ Coach: ________________________________

 Republic of the Philippines
Department of Education
Region III – Central Luzon
Schools Division of Bulacan
DISTRICT OF SAN MIGUEL SOUTH
San Miguel, Bulacan

SUMMARY ENTRY SHEET

Delegation: San Miguel Event: Athletics Elementary Girls

Level: Municipal Sex: Female

Name of Athlete Birth Certificate of Parental Medical

No. AR–3 AR–1 Form 137 Remarks
Certificate Enrolment Consent Certificate
1. De Vera, Jullie Ann S.
2. Calderon, Ella Mae G.
3. De Guzman, Angel A.
4. Bautista, Arcell A.
5. Del Rosario, Yesha M.
6. Loma, Ma. Sophia G.
7. Nuñez, Angela M.
8. Alvarez, Jeaneace S.
9. Dispe, Eloisa S.
10. Salvador, Hanna Renz G.
11. Cunanan, Jan Alisha V.
12. Roque, Danica S.

CHECKED AND VERIFIED CORRECT

___________________ SCREENING COMMITTEE

Chairman: __________________________ Member: __________________________ Member: __________________________ Coach: ________________________________

Co-Chairman: _______________________ Member: __________________________ Member: __________________________ Coach: ________________________________