Department of Education
Division of Zamboanga del Sur
Tambulig District
TAMBULIG NHS – LOWER TIPARAK ANNEX
SY 2022 – 2023
SPORTS CLUB REGISTRATION FORM
I. PERSONAL INFORMATION
Name:
Grade & Section:
Gender:
Paste 2 x 2 Photo
Date of Birth: Here
Address:
Contact Number:
II. FAMILY BACKGROUND
Parent’s Name:
Address:
Contact Number:
If not living with parents, enter guardian’s information.
Guardian’s Name:
Address:
Contact Number:
Sports events registering for (Check one sport that applies.):
☐ BASKETBALL ☐ VOLLEYBALL ☐ BADMINTON
By signing this club registration form, I hereby declare that I am physically and
mentally fit to do my tasks as a club member and that I have no medical conditions that
may hinder me from doing my responsibilities to the club and the school.
_______________________________
Signature over Printed Name
This is to certify that this club registration form is signed in my presence and that
the applicant whose photo and signature are affixed to this document is APPROVED as
a CLUB MEMBER and chosen as a representative for BASKETBALL.
Noted: Recommending Approval: Approved:
EDUARDO UTLANG JR. IVY JOY P. HAMILI BALBINO P. LUZANA
JR.
Coach, Basketball Sports Club Adviser School Head
Department of Education
Division of Zamboanga del Sur
Tambulig District
TAMBULIG NHS – LOWER TIPARAK ANNEX
SY 2022 – 2023
SPORTS CLUB REGISTRATION FORM
III. PERSONAL INFORMATION
Name:
Grade & Section:
Gender:
Paste 2 x 2 Photo
Date of Birth: Here
Address:
Contact Number:
IV. FAMILY BACKGROUND
Parent’s Name:
Address:
Contact Number:
If not living with parents, enter guardian’s information.
Guardian’s Name:
Address:
Contact Number:
Sports events registering for (Check one sport that applies.):
☐ BASKETBALL ☐ VOLLEYBALL ☐ BADMINTON
By signing this club registration form, I hereby declare that I am physically and
mentally fit to do my tasks as a club member and that I have no medical conditions that
may hinder me from doing my responsibilities to the club and the school.
_______________________________
Signature over Printed Name
This is to certify that this club registration form is signed in my presence and that
the applicant whose photo and signature are affixed to this document is APPROVED as
a CLUB MEMBER and chosen as a representative for VOLLEYBALL.
Noted: Recommending Approval: Approved:
NORMAN P. PAHILAN IVY JOY P. HAMILI BALBINO P. LUZANA
JR.
Coach, Volleyball Sports Club Adviser School Head
Department of Education
Division of Zamboanga del Sur
Tambulig District
TAMBULIG NHS – LOWER TIPARAK ANNEX
SY 2022 – 2023
SPORTS CLUB REGISTRATION FORM
V. PERSONAL INFORMATION
Name:
Grade & Section:
Gender:
Paste 2 x 2 Photo
Date of Birth: Here
Address:
Contact Number:
VI. FAMILY BACKGROUND
Parent’s Name:
Address:
Contact Number:
If not living with parents, enter guardian’s information.
Guardian’s Name:
Address:
Contact Number:
Sports events registering for (Check one sport that applies.):
☐ BASKETBALL ☐ VOLLEYBALL ☐ BADMINTON
By signing this club registration form, I hereby declare that I am physically and
mentally fit to do my tasks as a club member and that I have no medical conditions that
may hinder me from doing my responsibilities to the club and the school.
_______________________________
Signature over Printed Name
This is to certify that this club registration form is signed in my presence and that
the applicant whose photo and signature are affixed to this document is APPROVED as
a CLUB MEMBER and chosen as a representative for BADMINTON.
Noted: Recommending Approval: Approved:
CLAIRE L. RAMIREZ IVY JOY P. HAMILI BALBINO P. LUZANA
JR.
Coach, Badminton Sports Club Adviser School Head
