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School Sports Club Registration Form

The document is a registration form for the Caparispisan Elementary School Sports Club in Ilocos Norte, Philippines. [1] It provides basic information about the school such as its address and enrollment numbers. [2] It requires the school to choose at least three of six mandatory sports and then lists additional preferred sports that the club plans to establish. [3] At the end, the sports club coordinator and school principal certify that the information provided is accurate before submitting to the Division Sports Officer for verification.

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781 views2 pages

School Sports Club Registration Form

The document is a registration form for the Caparispisan Elementary School Sports Club in Ilocos Norte, Philippines. [1] It provides basic information about the school such as its address and enrollment numbers. [2] It requires the school to choose at least three of six mandatory sports and then lists additional preferred sports that the club plans to establish. [3] At the end, the sports club coordinator and school principal certify that the information provided is accurate before submitting to the Division Sports Officer for verification.

Uploaded by

Super J
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.1: SCHOOL SPORTS CLUB REGISTRATION FORM

INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable. DO NOT ABBREVIATE.

A. Basic Information
Region I Divisio ILOCOS NORTE
n

Name of School CAPARISPISAN ELEMENTARY SCHOOL School ID 100165

Address CAPARISPISAN, PAGUDPUD, ILOCOS NORTE

Email address (if any) N/A Telephone No. 09272728528

Website URL (if any) N/A


B. School Profile
Classification of School: kindergarten to Grade 6
Class Organization: Multi-Grade
School Address: Caparispisan, Pagudpud, Ilococ Norte
District: Pagudpud-Adams District
Number of Enrolment SY 2022-2023: 80
School Head: Fredil Fidel S. Duque/School Principal I
Number of Teaching Personnel:4

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525
C.Sports Club
C.1 Mandatory Sports
At least three out of six mandatory sports; however you may establish any preferred sports club.
Add rows if necessary.
1.Softball
2.Baseball
3.Athletics( Throws, Jumps, Runs) Boys and Girls
4.Basketball
5.Sipa
6.Badminton (Boys and Girls)

C.2 Preferred Sports


Add rows if necessary.
1.Volleyball (Boys and Girls) 7. Badminto (Girls and Boys)
2.Softball 8. Gymnastics
3.Baseball 9. Soccer
3.Athletics( Throws, Jumps, Runs) Boys and 10. Table Tennis (Boys and Girls)
Girls
5. Basketball 11.Lawn Tennis ( Boys and Girls)
6. Sipa 12. Swimming (Boys and Girls)
13. Chess ( Boys and Girls)
14. Arnis 15. Taekwondo

Declaration:
I hereby declare the information provided in this application is true and correct and there have been no
misleading statements, omission of any relevant facts nor any misinterpretation made.

Prepared by:
Sports Club Coordinator JAY-AR A. VALERA
Signature
Date FEBRUARY 6, 2023

Certified by:
Principal/Officer-in-Charge FREDIL FIDEL S. DUQUE
Signature
Date FEBRUARY 6, 2023

Verified by:
Division Sports Officer
Signature
Date
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525

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