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  • Enclosure 3 - SDO Pre Registration Form - LearnCon PH 2023 - 20230310

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    Mari Bsn
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    This document is a pre-registration form for Learners' Convergence PH 2023, an event to be held from July 29-August 3, 2023 in Marikina City. It requests information about student representatives and chaperones from Victorias City Division that will attend, including their name, gender, birthdate, grade level, school, email, t-shirt size, food restrictions, religion, and emergency contacts. It notes that endorsement letters and completed documents must be submitted by June 19, 2023 and information must also be input into a linked Google Sheet. It is signed by the Schools Division Superintendent.

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    Enclosure-3_SDO-Pre-Registration-Form_LearnCon-PH-2023_20230310

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    This document is a pre-registration form for Learners' Convergence PH 2023, an event to be held from July 29-August 3, 2023 in Marikina City. It requests information about student representatives and chaperones from Victorias City Division that will attend, including their name, gender, birthdate, grade level, school, email, t-shirt size, food restrictions, religion, and emergency contacts. It notes that endorsement letters and completed documents must be submitted by June 19, 2023 and information must also be input into a linked Google Sheet. It is signed by the Schools Division Superintendent.

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    © All Rights Reserved
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    6 views2 pages

    Enclosure 3 - SDO Pre Registration Form - LearnCon PH 2023 - 20230310

    Uploaded by

    Mari Bsn
    This document is a pre-registration form for Learners' Convergence PH 2023, an event to be held from July 29-August 3, 2023 in Marikina City. It requests information about student representatives and chaperones from Victorias City Division that will attend, including their name, gender, birthdate, grade level, school, email, t-shirt size, food restrictions, religion, and emergency contacts. It notes that endorsement letters and completed documents must be submitted by June 19, 2023 and information must also be input into a linked Google Sheet. It is signed by the Schools Division Superintendent.

    Copyright:

    © All Rights Reserved
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    of 2

    (Enclosure No. 3 to DepEd Memorandum No. ________, s.

    2023)

    LEARNERS' CONVERGENCE PH 2023


    #SaMakabata: Sentro ng Karunungan, Huwaran ng Kagalingan
    Marikina City, Metro Manila, National Capital Region
    July 29-August 3, 2023

    SCHOOLS DIVISION OFFICE PRE-REGISTRATION FORM

    Name of Division: VICTORIAS CITY Region: VI

    In case of Emergency
    Birthdate Grade Complete Name of T-Shirt Size Food
    Representation Name of Learner/Chaperone Gender (mm/dd/yy) Age Level School Email Address & Restriction Religion
    (First Name, Middle Initial, Last Name) Contact Number Name Relationship Contact
    Number

    Outgoing DFSSG
    President
    (SY 2022-2023)
    (1 pax only)

    Incoming DFSSG
    President
    (SY 2023-2024)
    (1 pax only)

    Learner representing
    health-related
    organization

    (1 pax only)

    Learner representing
    sports-related
    organization

    (1 pax only)

    Learner representing
    LRP -related
    organization

    (1 pax only)
    In case of Emergency
    Birthdate Grade Complete Name of T-Shirt Size Food
    Representation Name of Learner/Chaperone Gender (mm/dd/yy) Age Level School Email Address & Restriction Religion
    (First Name, Middle Initial, Last Name) Contact Number Name Relationship Contact
    Number

    Learner representing
    Disaster Risk Reduction
    and Management-related
    organization

    (1 pax only)

    Chaperones
    Preferably 1 male, 1 female
    YFC/teacher-adviser assigned by the
    Schools Division Superintendent

    (2 pax only)

    Approved by:

    PORTIA M. MALLORCA, PhD, CESO V


    Schools Division Superintendent
    Notes:
    1. An endorsement letter, saved in one PDF file, must be submitted to the respective Regional Office via email on or before June 19, 2023, along with the completed documents (Accomplished SDO Pre-Registration Form, signed
    Parental Consent and Waiver Form, and any proof of COVID vaccination)
    2. Please input the same information of the participants in this Google Sheet through this link, https://bit.ly/SDO_Pre-Registration-Form_LearnConPH2023.
    3. You may access the editable forms (Pre-registration, Confirmation, and Parent’s Consent Form) here, https://bit.ly/RegistrationForms_LearnConPH2023.

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