Sport Dicipline
Sport Dicipline
Sport Dicipline
ATHLETIC DEPARTMENT
VARSITY FORM
______________________________________________
(Karate, Arnis, Taekwondo)
SPORTS DISCIPLINE
A. PERSONAL DATA:
Name: _______________________________________________________________________________
(Surname) (First Name) (M.I)
School Last Attended: ___________________________________________________________________
Course: _______ (1st Course: _____ 2nd Course: _____ Shift to other Course: ______) Curr. Year: _____
EDUCATIONAL BACKGROUND
Number of units last semester attended: _____ Number of units in progress: _____
I hereby agree to abide by the existing rules and regulations of Baguio Central University Varsity Team
and those that maybe adopted from time to time by the Athletic Department. (Smoking and liquor are
prohibited/ No Practice No Scholarship)
______________________
Signature
_____________________
Contact Number
________________________________________
Parent’s Signature over Printed Name
_______________________________
Tel. Number (Home/Parents)
B. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Accomplish the following properly.
I hereby certify that all information that I have provided in this form are true to the of my
knowledge.
_________________________________ ___________________
Signature over Printed Name Date