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    This document appears to be a record form for a girls elementary tennis event in the Schools Division of Ilocos Sur region. It includes sections for the coach and assistant coach's information and certifications. There are also sections to record information for multiple athletes competing in the event, including their name, student identification number, date of birth, school, and certifications required. The form specifies that an A4 size copy paper should be used.

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    2020-Gallery-of-Athletes

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    This document appears to be a record form for a girls elementary tennis event in the Schools Division of Ilocos Sur region. It includes sections for the coach and assistant coach's information and certifications. There are also sections to record information for multiple athletes competing in the event, including their name, student identification number, date of birth, school, and certifications required. The form specifies that an A4 size copy paper should be used.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views4 pages

    2020 Gallery of Athletes

    Uploaded by

    Amazing channel
    This document appears to be a record form for a girls elementary tennis event in the Schools Division of Ilocos Sur region. It includes sections for the coach and assistant coach's information and certifications. There are also sections to record information for multiple athletes competing in the event, including their name, student identification number, date of birth, school, and certifications required. The form specifies that an A4 size copy paper should be used.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    Revised as of September 26, 2019 1

    REGION
    SCHOOLS DIVISION OF ILOCOS SUR
    DIVISION
    PENCAK SILAT GIRLS SECONDARY

    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

    CABIGAS, RICARDO P. NAME


    NARVACAN NATIONAL CENTRAL HS 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 (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

    AQUINO, JESSA MAE C NAME OF ATHLETE OMANITO, DIVINE GRACE C.


    100514110001 LRN 100528090041
    JANUARY 10, 2006 DATE OF BIRTH JANUARY 18, 2004
    NARVACAN NATIONAL CENTRAL HS SCHOOL NARVACAN NATIONAL CENTRAL HS

    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

    EMPERADO, ZARA THERESSE NAME OF ATHLETE SABALBURO, ALLEXANDRA T.


    114743120033 LRN 101873120019
    SEPTEMBER 19, 2005 DATE OF BIRTH JULY 26, 2005
    NARVACAN NATIONAL CENTRAL HS SCHOOL NARVACAN NATIONAL CENTRAL HS

    NOTE:
    PLEASE USE A4 SIZE COPY PAPER
    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
    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
    . 1
    REGION
    SCHOOLS DIVISION OF ILOCOS SUR
    DIVISION

    TENNIS GIRLS ELEMENTARY


    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
    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)

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