NESTLÉ WELLNESS CAMPUS INTER-SCHOOL, INTER-REGION COMPETITION

REGISTRATION FORM and WAIVER

Region: VI
Division: BACOLOD CITY

SCHOOL INFORMATION:
Name of School: KABUGWASON ELEMENTARY SCHOOL
Category:  Grade School Junior High School
School Address: Corner Concordia St., Brgy. Mansilingan, Bacolod City, Philippines

By submitting this registration form we hereby:

1. Confirm our participation in the following competitions for the SY 2023–2024 Nestlé
Wellness Campus Program: (Please check the box below for the contest in which your school
will participate.)

Hataw: The School Sayaw Showdown– (Signed Parents Waiver Form Needed)
Sarap Sustansya Cook-Off– (Signed Parents Waiver Form Needed)
Superstars! The Search for the Next Wellness Superstar
Best Implementing School Competition

Note: Students participating in the competition should fill out the Parents' Waiver Form. The duly
signed parental waiver form is attached to the registration form. Please note further, that
there is a separate parental waiver per contest.

2. Understand the full mechanics and abide by the rules and regulation of the contest
3. Agree to represent our Division in the Nestlé Wellness Campus Inter-school, Inter-region
Competition.
4. Certify that we have started the implementation of the Nestlé Wellness Campus program as
pre- requisites to the contest

Kindly note the date when you have started with the program implementation of the following activities:
 Wellness Campus Modules (Student modules on Nutrition, Solid Waste Management, PE; Parent
modules)
Start Date:

 Wellness Campus Dancercise

Start Date: October 2, 2023

CARLO R. NAVALES_____
School Representative’s
Signature Over Printed Name

09668416196_____
Contact Number

18/10/2023______
Date