Revised as of September 26, 2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
III – CENTRAL LUZON
Region
___________________________
Division
_ _____________________________________
School
______________________________________
School Address
_______________________
Date
CERTIFICATE OF COMMITMENT
I, __________________________________, of legal age,
(Name of Chaperon)
single/married/widow, Filipino citizen, and presently working as
________________________________at ________________________________________,
(Position) (Work Address)
hereby commit myself to nurture the athletes of ___________________________,
(Name of Event)
provided that due care and precaution will be observed to ensure the
comfort and safety of the athletes until the last day in the Lower Meet up to
the Palarong Pambansa.
That I will not interfere in the Coaching of our Team or Act as Coach
of the Athlete as it is not my responsibility to do so.
__________________________
Signature over Printed Name of Chaperon
Verified:
________________________
School Head
(Signature Over Printed Name)
FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)