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    FORM SSC.1 School Sports Club Registration Form v1

    Uploaded by

    Super J
    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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    FORM SSC.1 School Sports Club Registration Form v1

    Uploaded by

    Super J
    334 views2 pages
    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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    FORM-SSC.1-School-Sports-Club-Registration-Form-v1

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    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.

    Copyright:

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

    FORM SSC.1 School Sports Club Registration Form v1

    Uploaded by

    Super J
    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.

    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
    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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