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    FORM SSC.1 School Sports Club Registration Form

    Uploaded by

    Joyahj Yahj Mystica
    This document is a registration form for the sports club at Batiarao Elementary School. It provides basic information about the school such as its address and contact details. It also lists the school administration and teachers. The form documents the mandatory and preferred sports for the club, which include sepak takraw, athletics, volleyball, and basketball. The sports club coordinator and school principal sign the form to declare the information is accurate and complete the registration.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    FORM SSC.1 School Sports Club Registration Form

    Uploaded by

    Joyahj Yahj Mystica
    147 views2 pages
    This document is a registration form for the sports club at Batiarao Elementary School. It provides basic information about the school such as its address and contact details. It also lists the school administration and teachers. The form documents the mandatory and preferred sports for the club, which include sepak takraw, athletics, volleyball, and basketball. The sports club coordinator and school principal sign the form to declare the information is accurate and complete the registration.

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    Original Title

    FORM-SSC.1-School-Sports-Club-Registration-Form

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    This document is a registration form for the sports club at Batiarao Elementary School. It provides basic information about the school such as its address and contact details. It also lists the school administration and teachers. The form documents the mandatory and preferred sports for the club, which include sepak takraw, athletics, volleyball, and basketball. The sports club coordinator and school principal sign the form to declare the information is accurate and complete the registration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    147 views2 pages

    FORM SSC.1 School Sports Club Registration Form

    Uploaded by

    Joyahj Yahj Mystica
    This document is a registration form for the sports club at Batiarao Elementary School. It provides basic information about the school such as its address and contact details. It also lists the school administration and teachers. The form documents the mandatory and preferred sports for the club, which include sepak takraw, athletics, volleyball, and basketball. The sports club coordinator and school principal sign the form to declare the information is accurate and complete the registration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines

    Department of Education
    Region I
    SCHOOLS DIVISION OFFICE I PANGASINAN

    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 Division Schools Division Office I Pangasinan

    Name of School Batiarao Elementary School School ID 101206

    Address Batiarao, Anda, Pangasinan

    Email address (if batiaraoelem@gmail.com Telephone No. 0912 185 4278


    any)

    Website URL (if


    any)
    B. School Profile

    ROMEO C.
    CATABAY RIZA OFRANCIA
    HEAD TEACHER III ADMINISTRATIVE OFFICER

    ALICIA C. CASIS
    MASTER TEACHER I

    MONALIZA C. LAURIFEL C. EMIEROSE C. LAILA C. MILDRED C.


    LACANA CATALUÑA CATINEC FLORENDO ESTERO
    TEACHER III TEACHER III TEACHER III TEACHER III TEACHER II

    ANALITA C. MARIA TERESA VENUS C. JOY CAROL G. ROSIELYN O.


    ABROGAR C. CAALIM CATABAY MOLINA ORLANDA
    TEACHER I TEACHER I TEACHER I TEACHER I TEACHER I

    C.Sports Club
    C.1 Mandatory Sports
    At least three out of six mandatory sports; however you may establish any preferred sports club.

    Address: Alvear St. Lingayen, Pangasinan


    Telephone No.: (075)-522-2202 Page No.: Page 1 of 2
    Email: pangasinan1@deped.gov.ph
    Add rows if necessary.
    1. Sepak Takraw
    2. Athletics
    3.
    4.
    5.
    6.

    C.2 Preferred Sports


    Add rows if necessary.
    1.Badminton 7.
    2.Volleyball 8.
    3.Basketball 9.
    4. 10.
    5. 11.
    6. 12.

    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 JOY CAROL G. MOLINA
    Signature
    Date 02//03/2023

    Certified by:
    Principal/Officer-in-Charge ROMEO C. CATABAY
    Signature
    Date 02/03/2023

    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

    Address: Alvear St. Lingayen, Pangasinan


    Telephone No.: (075)-522-2202 Page No.: Page 2 of 2
    Email: pangasinan1@deped.gov.ph

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