IV - A CALABARZON

REGION
Lipa City
DIVISION

BADMINTON
EVENT

COACH/ASST. COACH/CHAPERON RECORD

(CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
CONTRACT OF SERVICE (FOR PRIVATE)
OMNIBUS AFFIDAVIT
MEDICAL CERTIFICATE
Coach CERTIFICATE OF COMMITMENT (for Chaperon)

Jay-Ar M. Pasajol NAME

Lipa Montessori School of Learning Inc. SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

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

DIVISION

EVENT

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

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

DIVISION

EVENT

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
ORIGINAL COPY OF PSA/NSO
SF 10 / FORM - 137
CERTIFICATE OF ATTENDANCE
athlete athlete
PARENTS CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT
INTERVIEWED

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