FORM SSC.1 School Sports Club Registration Form v1
FORM SSC.1 School Sports Club Registration Form v1
FORM SSC.1 School Sports Club Registration Form v1
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 IV-MIMAROPA Division MARINDUQUE
As of August 31,2022. The school has a total enrolment of 126 learners from Kindergarten to
Grade VI, based on the Learners Enrolment Survey Form (LESFs) in both remote and online enrolment
conducted during the enrolment period, composed of 71 males and 55 females. From this enrolment, there
are 46 learner- athletes who joined the different sports club composed of 34 males and 12 females.
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 JOSE ROMMEL M. MACUNAT
Signature
Date JANUARY 30, 2023
Certified by:
Principal/Officer-in-Charge ROWENA L. MACUNAT
Signature
Date JANUARY 30, 2023
Verified by:
Division Sports Officer MAITA M. LAZARES
Signature
Date JANUARY 30, 2023
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form