Professional Documents
Culture Documents
REGION
DIVISION
EVENT
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