VII

REGION
SECONDARY
LEVEL
BALITAW
EVENT

CACR (COACH /ASST.COACH RECORD)

CERTIFICATE OF EMPLOYMENT

APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE/NOTARIZED ( PRIVATE)

OMNIBUS AFFIDAVIT
COACH MEDICAL CERTIFICATE ASST. COACH
ANGCAHAN, ROLIE S.
LAÑOJAN, MARIA LILIBETH A. CERTIFICATE OF TRAINING ASSISTANT COACH
COACH

CERTIFICATE OF SPORTS MEMBERSHIP

CERT. OF SPORTS RECONITION IN LOWER MEETS

LAÑOJAN, MARIA LILIBETH A. NAME ANGCAHAN, ROLIE S.

ALPUERTO-ZOZOBRADO EDUCATIONAL CENTER INC. SCHOOL ALPUERTO-ZOZOBRADO EDUCATIONAL CENTER INC.
JUNE 09, 1998 DATE OF BIRTH JUNE 04, 1999
9859092582 CONTACT NUMBER 9357488468

APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
CERTIFICATE OF COMMITMENT
MEDICAL CERTIFICATE

CHAPERON

NAME
SCHOOL
DATE OF BIRTH
CONTACT NUMBER

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

ATHLETE1 PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & ATHLETE 3

CUSTODY

DALOCANOG, REYN JELLIAN C. MEDICAL CERTIFICATE

GRADE 10
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

DALOCANOG, REYN JELLIAN C. NAME OF ATHLETE

119384140139 LRN
JANUARY 31, 2008 DATE OF BIRTH
ALPUERTO-ZOZOBRADO (A-Z) EDUCATIONAL CENTER INC. SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

ATHLETE 2 PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & ATHLETE 4

CUSTODY

ILAIDA, JERSHWHEN P. MEDICAL CERTIFICATE

GRADE 11
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

ILAIDA, JERSHWHEN P. NAME OF ATHLETE

119394120080 LRN
MARCH 17, 2007 DATE OF BIRTH
COGON NATIONAL HIGH SCHOOL SCHOOL
 REGION

LEVEL

EVENT
ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 5 CUSTODY ATHLETE 9
MEDICAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 6 CUSTODY ATHLETE 10
MEDICAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 7 CUSTODY ATHLETE 11
MEDICAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 8 CUSTODY ATHLETE 12
MEDICAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED

NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
p
 VII
REGION
ELEMENTARY
LEVEL
VOCAL SOLO
EVENT

CACR (COACH /ASST.COACH RECORD)

CERTIFICATE OF EMPLOYMENT

APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE/NOTARIZED ( PRIVATE)

OMNIBUS AFFIDAVIT
COACH MEDICAL CERTIFICATE ASST. COACH

LAÑOJAN, MARIA LILIBETH A.

CERTIFICATE OF TRAINING ANGCAHAN, ROLIE S.
COACH ASSISTANT COACH
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS MEMBERSHIP
CERT. OF SPORTS RECONITION IN LOWER MEETS

LAÑOJAN, MARIA LILIBETH A. NAME ANGCAHAN, ROLIE S.

ALPUERTO-ZOZOBRADO (A-Z) EDUCATIONAL CENTER INC. SCHOOL ALPUERTO-ZOZOBRADO (A-Z) EDUCATIONAL CENTER INC.

JUNE 09, 1998 DATE OF BIRTH JUNE 04, 1999

9859092582 CONTACT NUMBER 9357488468

APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
CERTIFICATE OF COMMITMENT

MEDICAL CERTIFICATE

CHAPERON

NAME
SCHOOL
DATE OF BIRTH
CONTACT NUMBER

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

ATHLETE1 PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & ATHLETE 3

CUSTODY
MEDICAL CERTIFICATE
ALPUERTO, ATHENA M.
GRADE 6 DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
ALPUERTO, ATHENA M. NAME OF ATHLETE
119381170016 LRN
APRIL 25, 2012 DATE OF BIRTH
ALPUERTO-ZOZOBRADO (A-Z) EDUCATIONAL CENTER INC. SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

ATHLETE 2 PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & ATHLETE 4

CUSTODY
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

REGION

LEVEL

EVENT
 ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 5 CUSTODY ATHLETE 9
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 6 CUSTODY ATHLETE 10
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 7 CUSTODY ATHLETE 11
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

ATHLETE'S RECORD
ORIGINAL PSA BIRTH CERTIFICATE
SF 10 / FORM 137

CERTIFICATE OF ENROLMENT AND ATTENDANCE/COMPLETION

PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE &
ATHLETE 8 CUSTODY ATHLETE 12
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
DISABILITY ASSESSMENT (for PARAGAMES only)
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL