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Revised as of September 26, 2019

REGION

DIVISION

EVENT

A. COACH/ASST. COACH/CHAPERON RECORD


(CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE)
B. APPOINTMENT (PUBLIC) CONTRACT OF SERVICE (FOR PRIVATE)
C. OMNIBUS AFFIDAVIT
D. MEDICAL CERTIFICATE
Coach Assistant Coach

NAME
SCHOOL

A. CERTIFICATE OF COMMITMENT
B. MEDICAL CERTICATE

Chaperon

NAME
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER
Revised as of September 26, 2019
REGION

DIVISION

EVENT

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER
Revised as of September 26, 2019
REGION

DIVISION

EVENT

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE(FOR Palarong Pambansa Only)
athlete athlete
E. PARENTS CONSENT/AFFIDAVIT SWORN STEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT(For PARAGAMES Only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
NOTE:
PLEASE USE A4 SIZE COPY PAPER

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