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    Sports Club Registration Form

    Uploaded by

    anthony

    Copyright:

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

    Sports Club Registration Form

    Uploaded by

    anthony
    1K views6 pages

    Original Title

    Sports-Club-Registration-Form

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    1K views6 pages

    Sports Club Registration Form

    Uploaded by

    anthony

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    Republic of the Philippines

    Department of Education
    MIMAROPA REGION
    SCHOOLS DIVISION OF MARINDUQUE

    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: MIMAROPA REGION Division: SCHOOLS DIVISION OF MARINDUQUE
    Name of School: School ID:
    Address:
    Email Address (if any) Telephone No:
    Website URL (if any)
    B. School Profile

    “DepEd Marinduque: Heart of the Philippines.


    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611
    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.
    2.
    3.
    4.
    5.
    6.
    C. 2. Preferred Sports
    Add rows if necessary.
    1.
    2.
    3.
    4.
    5.
    6.

    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
    Signature
    Date

    Certified by:
    Principal/Officer-in-charge
    Signature
    Date

    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.

    “DepEd Marinduque: Heart of the Philippines.


    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611
    FORM SSC. 2: School Sports Club Attachment Form
    INSTRUCTION: Input the necessary details. Indicate N/A if not applicable.
    DO NOT ABBREVIATE

    I. SPORTS CLUB INFORMATION

    Create a copy of this page if four or more sports clubs are being offered. Add rows and columns if necessary.
    Sports Club Name:
    Established Date:
    Sports Club Facilitator/s
    Sports Club Member/s:
    Members Name Grade Level

    Sports Club Name:


    Established Date:
    Sports Club Facilitator/s
    Sports Club Member/s:
    Members Name Grade Level

    “DepEd Marinduque: Heart of the Philippines.


    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611
    Sports Club Name:
    Established Date:
    Sports Club Facilitator/s
    Sports Club Member/s:
    Members Name Grade Level

    Sports Club Name:


    Established Date:
    Sports Club Facilitator/s
    Sports Club Member/s:
    Members Name Grade Level

    II. PROGRAMMING
    Put the preferred time schedule. Add rows and columns if necessary
    Time Sports Club Mon. Tues. Wed. Thurs Fri. Sat.
    .
    Example
    3:00 – 4:00 PM Arnis Sports Club /
    4:00 – 5:00 PM Chess Sports Club /
    5:00 – 6:00 PM Sepak Takraw Sports Club /

    Put the preferred time schedule. Add rows and columns if necessary
    Time Varsity Club Mon. Tues. Wed. Thurs Fri. Sat.
    .

    III. LIST OF AVAILABLE SPORTS EQUIPMENT AND SPORTS FACILITIES


    “DepEd Marinduque: Heart of the Philippines.
    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611
    Tick the box if standard sports equipment and facilities are available and ready to use. Put remarks and add
    rows if necessary.

    Learning Facilities Remarks


    Track and Field Oval
    Gymnasium / Covered Court
    Basketball Court
    Volleyball Court
    Swimming Pool
    Football/Softball / Baseball Field
    Spacious Playing Area
    Others:
    ________________________________
    ________________________________
    ________________________________
    ________________________________

    Sports Equipment Remarks

    IV. SPORTS ACTIVITIES, PROGRAMS, AND/OR PROJECTS


    Give at least (3) three recent activities, programs, projects, or any other initiatives implemented related
    to sports. Add rows if necessary.

    Activities / Programs / Projects Date of Implementation

    “DepEd Marinduque: Heart of the Philippines.


    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611
    1.
    2.
    3.

    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
    Signature
    Date

    Certified by:
    Principal/Officer-in-charge
    Signature
    Date

    Verified by:
    Division Sports Officer
    Signature
    Date

    “DepEd Marinduque: Heart of the Philippines.


    Lead to Excel. Excel to Lead.”

    Malusak, Boac, Marinduque


    Email: [email protected]●Tel. No.: (042) 332-1009 ●Fax No.: (042) 332-1611

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