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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_____________________________________
