San Roque de Sampaloc Parish

INFO SHEET FOR PAG-BATI SALUBONG DANCERS (Adult)

NAME ____________________________________________________________________________
First Middle Surname
Address __________________________________________________________________________
Date of Birth_______________________ Age: ________ Nickname: _________________________
Father’s Name: _____________________________________________________________________
Mothers Name : ____________________________________________________________________
Cellphone No.: __________________________________ Landline:______________________
I hereby agree to attend series of practices and participate in the
Pag-Bati Dance for the Easter Salubong and the Flores the Mayo.

_________________________________________
Signature

San Roque de Sampaloc Parish

INFO SHEET FOR PAG-BATI SALUBONG DANCERS(Adult)

NAME ____________________________________________________________________________
First Middle Surname
Address __________________________________________________________________________
Date of Birth_______________________ Age: ________ Nickname: ________________________
Father’s Name: _____________________________________________________________________
Mothers Name : ____________________________________________________________________
Cellphone No.: __________________________________ Landline:______________________
I hereby agree to attend series of practices and participate in the
Pag-Bati Dance for the Easter Salubong and the Flores the Mayo.

_________________________________________
Signature