MOTHER GOOSE SPECIAL SCHOOL SYSTEM, INC.

(SCIENCE HIGH SCHOOL)

SAMSON-CMPD. TPUAC DIST., DAGUPAN CITY 2400
TEL NO. 515-0371 OR 515-3410

EXTRA-CURRICULAR ACTIVITIES
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Name: ________________________ Year & Section: ________________________

A. Organization
Name Position Points
School Level:
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Division Level:
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Regional Level:
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National Level:
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B. Contest
Name Position Points
School Level:
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Division Level:
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Regional Level:
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National Level:
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C. Extra-curricular Activities Outside A&B but with special approval of the school authority.

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