checklist of forms

STADepartment of Education Region IV-A CALABARZON DIVISION OF BATANGAS CHECKLIST OF DOCUMENTS Event: Volleyball – Boys Elementary Name of Athletes Date of Birth Ag e Grad e Leve l AR1 NSO Birth Cert Form 137 Cert of Enrolmen t Parental Consent Medical Dental Remarks 1. Karl Christian F. Dimayuga 10/14/20 01 12 VI 2. Daryl Dave P. Vergara 10/12/20 01 12 VI 3. Mervin Christian P. Vergara 10/31/20 03 10 IV 4. Goldwin O. Capuno 09/04/20 01 12 VI 5. John Arlo A. Orense 03/18/20 03 10 V 6. Patrick Ivan O. Ramirez 11/01/20 02 11 VI 7. Vince Harry D. Robles 03/25/20 02 11 VI 8. Jericho B. Obtial 01/29/20 02 11 VI 9. John Glenn D. Dita 07/31/20 02 11 V 10. Sherwin T. Manalo 04/07/20 01 12 VI 11. Elijah Khen V. 10/09/20 10 IV

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STADepartment of EducationRegion IV-A CALABARZONDIVISION OF BATANASCHECKLIST OF DOCUMENTSE!ent"Vo##e$%a## & Bo$'E#ementar$Name of At(#ete'Date ofBirt(AgeradeLe!e#AR)NSO Birt(CertForm )*+Cert ofEnro#ment,arenta#Con'ent-edica# Denta# Remar.')/ 0ar# C(ri'tian F/ Dima$uga)12)32411))4VI4/ Dar$# Da!e ,/ Vergara)12)42411))4VI*/ -er!in C(ri'tian ,/ Vergara)12*)2411*)1IV3/ o#d5in O/ Capuno162132411))4VI7/ 8o(n Ar#o A/ Oren'e1*2)92411*)1V:/ ,atric. I!an O/ Ramire;))21)24114))VI+/ Vince >>>>>>>>>>>>>>>>>>>>>>>>>>>>> E#ementar$Name of At(#ete'Date ofBirt(AgeradeLe!e#AR)NSO Birt(CertForm )*+Cert ofEnro#ment,arenta#Con'ent-edica# Denta# Remar.'>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>Screening Repre'entati!e Signature of Coac( O!er ,rinted NameDepartment of EducationRegion IV-A CALABARZONDIVISION OF BATANASCHECKLIST OF DOCUMENTSE!ent">>>>>>>>>>>>>>>>>>>>>>>>>>>>>> E#ementar$Name of At(#ete'Date ofBirt(AgeradeLe!e#AR)NSO Birt(CertForm )*+Cert ofEnro#ment,arenta#Con'ent-edica# Denta# Remar.'>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>Screening Repre'entati!e Signature of Coac( O!er ,rinted NameDepartment of EducationRegion IV-A CALABARZONDIVISION OF BATANASCHECKLIST OF DOCUMENTSE!ent">>>>>>>>>>>>>>>>>>>>>>>>>>>>>> E#ementar$Name of At(#ete'Date ofBirt(AgeradeLe!e#AR)NSO Birt(CertForm )*+Cert ofEnro#ment,arenta#Con'ent-edica# Denta# Remar.'>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>Screening Repre'entati!e Signature of Coac( O!er ,rinted NameDepartment of EducationRegion IV-A CALABARZONDIVISION OF BATANASCHECKLIST OF DOCUMENTSE!ent">>>>>>>>>>>>>>>>>>>>>>>>>>>>>> E#ementar$Name of At(#ete'Date ofBirt(AgeradeLe!e#AR)NSO Birt(CertForm )*+Cert ofEnro#ment,arenta#Con'ent-edica# Denta# Remar.'>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>Screening Repre'entati!e Signature of Coac( O!er ,rinted Name

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