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    Patrick Rodriguez
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    This document outlines the requirements and paperwork needed for coaches, assistant coaches, chaperones, and athletes participating in a Central Luzon regional chess and taekwondo event. It lists the documents required such as certificates of training, medical certificates, athlete records, identification documents, and consent forms. Coaches must provide appointment documents while athletes must be interviewed and provide school records and consent from parents. The note at the bottom specifies the requirements are for school sports from lower level meets up to the national Palarong Pambansa games.

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    This document outlines the requirements and paperwork needed for coaches, assistant coaches, chaperones, and athletes participating in a Central Luzon regional chess and taekwondo event. It lists the documents required such as certificates of training, medical certificates, athlete records, identification documents, and consent forms. Coaches must provide appointment documents while athletes must be interviewed and provide school records and consent from parents. The note at the bottom specifies the requirements are for school sports from lower level meets up to the national Palarong Pambansa games.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views7 pages

    BAPPREESA

    Uploaded by

    Patrick Rodriguez
    This document outlines the requirements and paperwork needed for coaches, assistant coaches, chaperones, and athletes participating in a Central Luzon regional chess and taekwondo event. It lists the documents required such as certificates of training, medical certificates, athlete records, identification documents, and consent forms. Coaches must provide appointment documents while athletes must be interviewed and provide school records and consent from parents. The note at the bottom specifies the requirements are for school sports from lower level meets up to the national Palarong Pambansa games.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 7

    Revised as of September 26, 2019 III- CENTRAL LUZON

    REGION
    BATAAN
    DIVISION

    CHESS S/G
    EVENT

    COACH/ASST. COACH RECORD


    A. (CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
    B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
    C. OMNIBUS AFFIDAVIT
    Coach D. MEDICAL CERTIFICATE Assistant Coach

    RUNSANG LUCIA T. NAME


    SCHOOL

    A. CERTIFICATE OF COMMITMENT
    B. MEDICAL CERTIFICATE

    Chaperon

    NAME
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    SANTIAGO CZIARA MAGNOLIA H. NAME OF ATHLETE


    107124150116 LRN
    4/14/2008 DATE OF BIRTH
    ST. JEROME EMILIANI OF
    SCHOOL
    DINALUPIHAN INC.

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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 September 26, 2019 III- CENTRAL LUZON
    REGION
    BATAAN
    DIVISION

    CHESS S/B
    EVENT

    COACH/ASST. COACH RECORD


    A. (CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
    B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
    C. OMNIBUS AFFIDAVIT
    Coach D. MEDICAL CERTIFICATE Assistant Coach

    RUNSANG LUCIA T. NAME


    SCHOOL

    A. CERTIFICATE OF COMMITMENT
    B. MEDICAL CERTIFICATE

    Chaperon

    NAME
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    RODRIGUEZ CHRIST JR A. NAME OF ATHLETE


    104591130099 LRN
    4/14/2008 DATE OF BIRTH
    ST. JEROME EMILIANI OF
    SCHOOL
    DINALUPIHAN INC.

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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 September 26, 2019 III- CENTRAL LUZON
    REGION
    BATAAN
    DIVISION

    TAEKWONDO S/B
    EVENT

    COACH/ASST. COACH RECORD


    A. (CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
    B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
    C. OMNIBUS AFFIDAVIT
    Coach D. MEDICAL CERTIFICATE Assistant Coach

    RODRIGUEZ, PATRICK N. NAME VASQUEZ, LADYLYN F.


    SCHOOL

    A. CERTIFICATE OF COMMITMENT
    B. MEDICAL CERTIFICATE

    Chaperon

    NAME
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    TEODOSIO JAB F. NAME OF ATHLETE


    104621140160 LRN
    11/11/2008 DATE OF BIRTH
    ST. JEROME EMILIANI OF
    SCHOOL
    DINALUPIHAN INC.

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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 September 26, 2019 III- CENTRAL LUZON
    REGION
    BATAAN
    DIVISION

    TAEKWONDO E/G
    EVENT

    COACH/ASST. COACH RECORD


    A. (CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
    B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
    C. OMNIBUS AFFIDAVIT
    Coach D. MEDICAL CERTIFICATE Assistant Coach

    RODRIGUEZ, PATRICK N. NAME VASQUEZ, LADYLYN F.


    SCHOOL

    A. CERTIFICATE OF COMMITMENT
    B. MEDICAL CERTIFICATE

    Chaperon

    NAME
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    BITANGCOL ALOJA DENISE U. NAME OF ATHLETE


    418029180007 LRN
    6/3/2013 DATE OF BIRTH
    ST. JEROME EMILIANI OF
    SCHOOL
    DINALUPIHAN INC.

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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 September 26, 2019 III- CENTRAL LUZON
    REGION
    BATAAN
    DIVISION

    TAEKWONDO E/G
    EVENT

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY

    athlete F. MEDICAL CERTIFICATE athlete


    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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    F. MEDICAL CERTIFICATE
    athlete G. DENTAL CERTIFICATE
    athlete
    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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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)


    .
    REGION

    DIVISION

    EVENT

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. 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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. 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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    athlete athlete
    G. 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. SF 10 / FORM - 137
    D. CERTIFICATE OF ATTENDANCE
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    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)

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