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Athletes Record

The form collects the student's personal details such as name, sex, date of birth, school and contact information. It documents the student's participation history in previous national school games competitions and current year lower level meets. Coaches, division and regional sports officers must sign to certify the student's participation at each level of competition. The form is screened at the division, regional and national levels to approve the student's eligibility.

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38 views2 pages

Athletes Record

The form collects the student's personal details such as name, sex, date of birth, school and contact information. It documents the student's participation history in previous national school games competitions and current year lower level meets. Coaches, division and regional sports officers must sign to certify the student's participation at each level of competition. The form is screened at the division, regional and national levels to approve the student's eligibility.

Uploaded by

RICXIE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Revised as of April 3, 2023

AR (ATHLETE RECORD)
Region III
Region

Schools Division of Pampanga


Latest 1½ x 1½ picture
Division

A. PERSONAL DATA:

Name:
(Last) (First) (M.I.)

Sex: Learner Reference Number (LRN) Contact Number

Date of Birth: (mm/dd/yyyy) Age: Place of Birth:


School: Grade Level
Address of School:
Present Address:
Parents:
Fathers Name Mother/Guardian
Address of Parents/Guardian:

B. Participation in the previous Palarong Pambansa. Yes ____ No _____ . If Yes, kindly fill up the table below
Year of Participation Sports Event Venue Remarks

C. Athlete's Participation in the Lower Meets (For the Current School Year)
Inclusive Dates Sports Event Athletic Meet Remarks

(Use separate sheet if necessary)

Athlete's Signature over Printed Name

D. Certification on Athlete's Participation


This is to certify that based on our knowledge, the above-mentioned athlete has been a member of a school based club and has
participated in the lower meets.

Name and Signature of Division Name and Signature of


Meet Name and Signature of Coach
Sports Officer (DSO) Regional Sports Officer (RSO)

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet Palarong Pambansa

(Signature of DSAC over Printed Name) (Signature of RSAC over Printed Name) (Signature of NSAC over Printed Name)

Date: ______________ Date: ______________ Date: ______________


FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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