Professional Documents
Culture Documents
REGION
DIVISION
EVENT
A. COACH / ASST. COACH RECORD
B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
C. OMNIBUS AFFIDAVIT
D. MEDICAL CERTIFICATE
Coach E
Assistant Coach
CERTIFICATE OF TRAINING
F CERTIFICATE OF SPORTS MEMBERSHIP
NAME
SCHOOL
Chaperon
NAME
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA / NSO
C. School Form 10
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL
E.
CARE & CUSTODY
athlete athlete
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. School Form 10
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL
E.
CARE & CUSTODY
athlete athlete
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
NOTE:
PLEASE USE A4 SIZE COPY PAPER
FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)
Revised as of April, 2023 I I I - CENTRAL LUZON
REGION
DIVISION
EVENT
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. School Form 10
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF
E.
athlete ACTUAL CARE & CUSTODY athlete
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. School Form 10
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. School Form 10
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL
E.
CARE & CUSTODY
athlete athlete
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. School Form 10
D.CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL
E.
CARE & CUSTODY
athlete athlete
F. MEDICAL CERTIFICATE
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
NOTE:
PLEASE USE A4 SIZE COPY PAPER
FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)