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TAÑONG INTEGRATED

HANDWASHING andSCHOOL
TOOTHBRUSHING ACTIVITY
MONITORING
FORM

Gr. Level & Sec: Grade 10 - Diamond Adviser: Ms. Marlex E. Bañar
Student Org Rep. SSG Officers and Red Cross GPTA Rep. Mrs. Esperanza Reyes
WINS Comm. On Hygiene: WINS Focal Person:
Mr. Randy Esperida

LOG MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY


WEEK1
Date
Time
No. of Learners
___Handwashing ___Handwashing ___Handwashing ___Handwashing ___Handwashing
Activity
___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing

Signature

WEEK2
Date
Time
No. of Learners

Activity ___Handwashing ___Handwashing ___Handwashing ___Handwashing ___Handwashing


___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing

Signature
WEEK3
Date
Time
No. of Learners

___Handwashing ___Handwashing ___Handwashing ___Handwashing ___Handwashing


Activity
___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing

Signature

WEEK4
Date
Time
No. of Learners

___Handwashing ___Handwashing ___Handwashing ___Handwashing ___Handwashing


Activity
___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing ___Toothbrushing

Signature

Noted by:

RIZA G. ANDRADE
Principal IV
WASH IN SCHOOLS
TAÑONG INTEGRATED
HANDWASHING andSCHOOL
TOOTHBRUSHING ACTIVITY
ATTE N DAN C E
FORM

Gr. Level & Sec: Adviser:

Student Org Rep. GPTA Rep.

WINS Comm. On Hygiene: WINS Focal Person:

NAME OF STUDENT TIME SIGNATURE


MALE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
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21.
22.
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24.
25.

Noted by: TAÑONG INTEGRATED


RIZA G. ANDRADEandSCHOOL
HANDWASHING TOOTHBRUSHING ACTIVITY
A T T E N WASH
D A N C IN SCHOOLS
Principal IV
E
Gr. Level & Sec: Adviser:

Student Org Rep. GPTA Rep.

WINS Comm. On Hygiene: WINS Focal Person:

NAME OF STUDENT TIME SIGNATURE


FEMALE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.

TAÑONG INTEGRATED
HANDWASHING andSCHOOL
TOOTHBRUSHING ACTIVITY
D O C U M E N TAT I
ON

Gr. Level & Sec: Adviser:


Student Org Rep. GPTA Rep.

WINS Comm. On Hygiene: WINS Focal Person:

Grade 10 – Diamond Ms. Marlex E. Bañar

SSG Officers and Red Cross Mrs. Esperanza Reyes

Mr. Randy Esperida

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