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CHECKLIST

School: _____________________________________________Event: _____________________________________ Level: _____________________

No. Name of Coach/es and Chaperons Coach Record Omnibus Affidavit Medical Certificate Gallery

Name of Athletes AR (Athlete


No. Parental Consent Medical Certificate PSA/NSO SF10
(in Alphabetical Order) Record)

Prepared by: Checked and reviewed by:

_______________________________ _____________________________
(Signature Over-Printed Name) (Signature Over-Printed Name)

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