Republic of the Philippines

Department of Education
REGION XII SOCCSKSARGEN
SCHOOLS DIVISION OF KORONADAL CITY

REGISTRATION FORM FOR THE NATIONAL LEARNING CAMP AND OTHER END
OF THE SCHOOL YEAR ACTIVITIES

Name:_______________________________LRN:_____________SCHOOL:____________________
Grade Level (Current):_______________________

Kindly tick below the camp placement of the learners:

FOR GRADE 7 & 8 ONLY

___National Learning Camp

___Enrichment Camp
___Consolidation Camp
___Intervention Camp

If the learner belongs to Intervention Camp, kindly specify his/her Grades in:

___English
___Mathematics
___Science

FOR OTHER GRADE LEVELS

___Other End of the School Year Activity

___Kto3 Reading and Numeracy
___Remedial Class (Grades 4,5,6,9,10,11)
___Advancement Class (Grade 12)

If remedial class, kindly specify the subjects by ticking below:

___Mathematics ___Science ___English

___Filipino ___EsP ___AP
___TLE ___MAPEH

PARENT’S CONSENT FORM

I allow my child, namely _________________________________ to participate in the

National Learning Camp and Other End of School Year Activities.

_____________________________
Signature Over Printed Name