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Deped Palaro Form-02

NATIONAL CAPITAL REGIONRegion

DIVISION OF PASIG CITYSchools Division

CERTIFICATE OF ENROLMENT

Date: November 4, 2013

To Whom it May Concern:

This is to certify that JEZREL M.TOBALADO , athlete in Boxing, is enrolled in thisSchool, NAGPAYONG LEMENTARY SCHOOL for the School Year 2013-2014.

RUBEN H. OPEÑA Ed. D Principal/School Head/Registrar

Deped Palaro Form-04

NATIONAL CAPITAL REGIONRegion

DIVISION OF PASIG CITYSchools Division

PARENTAL CONSENT

Date: November 4, 2013

I/We hereby willingly and voluntarily give my consent to the participation on my/our son/daughterJEZREL M. TOBALADO in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son/daughter will derived from his/her participation in this activity provided that due care and precaution will be observed to ensure the comfort and safety of my son/Daughter and that Deped Employees and personnel may not be held responsible for any untoward incident that may happen beyond their control.

Name Signature

Father ________________________________ _________________________

Mother ________________________________ __________________________

Guardian_______________________________ __________________________

(Relationship with the Athlete) ______________________

Deped Palaro Form-05

NATIONAL CAPITAL REGIONRegion

DIVISION OF PASIG CITYSchools Division

MEDICAL CERTIFICATE

Date: November 4, 2013To Whom it May Concern:

This is to certify that I examined JEZREL M. TOBALADO(Printed name of athlete)

Age: 10 Gender: Male Born on December 9, 2002and have found that the said athlete is physically fit to participate in the sports competition.

Event: BOXING Elem: / Sec.____

Physical Examination:

Height __________ Weight__________ Blood Pressure____________Pulse,Resting_________________ Respiratory Rate_________________Other Remarks________________________________________________________________

_______________________________________________________________

Date of Examination_____________________________________