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  • 2023 Gallery of Athletes - Elementary

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    Jonathan Paroan
    3 views6 pages
    The document outlines the requirements and documentation needed for coaches, chaperones, and athletes participating in school sports competitions in the Caraga region. It lists the required records, forms, medical certifications, identification documents, consent forms, and other paperwork that must be submitted for coaches, assistant coaches, chaperones, and each athlete. It provides the name, school, identification number and date of birth for 4 sample athlete profiles to demonstrate the format required for submitting athlete information.

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    2023-Gallery-of-Athletes_Elementary

    Original Title

    2023-Gallery-of-Athletes_Elementary

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    The document outlines the requirements and documentation needed for coaches, chaperones, and athletes participating in school sports competitions in the Caraga region. It lists the required records, forms, medical certifications, identification documents, consent forms, and other paperwork that must be submitted for coaches, assistant coaches, chaperones, and each athlete. It provides the name, school, identification number and date of birth for 4 sample athlete profiles to demonstrate the format required for submitting athlete information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views6 pages

    2023 Gallery of Athletes - Elementary

    Uploaded by

    Jonathan Paroan
    The document outlines the requirements and documentation needed for coaches, chaperones, and athletes participating in school sports competitions in the Caraga region. It lists the required records, forms, medical certifications, identification documents, consent forms, and other paperwork that must be submitted for coaches, assistant coaches, chaperones, and each athlete. It provides the name, school, identification number and date of birth for 4 sample athlete profiles to demonstrate the format required for submitting athlete information.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    Revised as of APRIL 3, 2023 CARAGA REGION

    REGION
    BISLIG CITY DIVISION
    DIVISION

    EVENT

    A. COACH/ASST. COACH RECORD


    B. APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
    C. OMNIBUS AFFIDAVIT
    D. MEDICAL CERTIFICATE
    Coach
    E CERTIFICATE OF TRAINING
    F CERTIFICATE OF SPORTS MEMBERSHIP
    G LICENSE OR CERTIFICATIONS/ ACCREDITATION

    JONATHAN S. PAROAN NAME


    DAYAP ELEMENTARY SCHOOL SCHOOL

    A. APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
    B. CERTIFICATE OF COMMITMENT
    C. 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 (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    AGUILING, IAN GIANNE C. NAME OF ATHLETE


    10825610070 LRN
    07/13/2012 DATE OF BIRTH
    Dayap Elementary School SCHOOL

    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
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    SEFIL, JAIRAH CLAIRE C. NAME OF ATHLETE


    10825170046 LRN
    9/2/2012 DATE OF BIRTH
    Dayap Elementary School SCHOOL

    NOTE:
    PLEASE USE A4 SIZE COPY PAPER

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


    Assistant Coach

    athlete

    LAJARCA, KIARA SHANE B.


    10825170110
    04/15/2012
    Dayap Elementary School

    athlete

    SARMIENTO, SHERRY MAE E.


    10825170110
    10/1/2012
    Dayap Elementary School
    Revised as of September 26, 2019

    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. 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 (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 (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    athlete 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 (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)


    . IV A - CALABARZON
    REGION
    Laguna
    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. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    AGUILING, IAN GIANNE C. NAME OF ATHLETE


    10825610070 LRN
    07/13/2012 DATE OF BIRTH
    Dayap Elementary School SCHOOL

    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

    SEFIL, JAIRAH CLAIRE C. NAME OF ATHLETE LAJARCA, KIARA SHANE B.


    10825170046 LRN 10825170110
    9/2/2012 DATE OF BIRTH 9/2/2012
    Dayap Elementary School SCHOOL Dayap Elementary School

    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

    LAJARCA, KIARA SHANE B. NAME OF ATHLETE


    10825170110 LRN
    9/2/2012 DATE OF BIRTH
    Dayap Elementary School SCHOOL

    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

    SARMIENTO, SHERRY MAE E. NAME OF ATHLETE


    10825170110 LRN
    9/2/2012 DATE OF BIRTH
    Dayap Elementary School SCHOOL

    NOTE:
    PLEASE USE A4 SIZE COPY PAPER
    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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