Revised as of September 26, 2019

Republic of the Philippines

DEPARTMENT OF EDUCATION
________________1________________
Region
SCHOOLS DIVISION OFFICE 1 PANGASINAN
Division
BATIARAO ELEMENTARY SCHOOL
School
BATIARAO, ANDA, PANGASINAN
School Address

February 13, 2023

Date

CERTIFICATE OF COMMITMENT

I, _ , of legal age, single/married/widow,

(Name of Chaperon)
Filipino citizen, and presently working as
(Position)

(Work Address)
at BATIARAO ELEMENTARY SCHOOL hereby commit myself to
(Name of Event)

nurture the athletes of provided that due care

and precaution will be observed to ensure the comfort and safety of the

athletes until the last day in the Lower Meet up to the Palarong Pambansa.

That I will not interfere in the Coaching of our Team or Act as Coach of

the Athlete as it is not my responsibility to do so.

_____ _____
Signature over Printed Name of Chaperon

Verified:

ROMEO C. CATABAY
School Head III
(Signature Over Printed Name)

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)