MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION

February 25-28, 2025

Malaybalay City
OFFICIAL ENTRY FORM
TEAM: ___________________________________________

DELEGATION: ____________________________________

ATHLETICS FORM 01 - OFFICIAL LINE-UP AND INDIVIDUAL ENTRY LIST AND SEEDING FORM

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Athlete NAMES OF ATHLETES

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Number (Alphabetical Order)

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We hereby certify that the name entries are eligible in accordance with the rules and regulations of the Department of Education.

Legend:
1 Best Performer
2 2nd Best Performer
3 3rd Best Performer Coach Track Coach Field
 NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET
February 8 - 12, 2016
Pana-ad Stadium, Bacolod City

ATHLETIC FORM 2
ENTRY FOR TRACK EVENTS

Event: Elem. Boys Trials

Heat: Sec. Girls Final

Ath. No. Name of Athletes Delegation Lane Time Place Remarks

1st Heat
1
2
3
4
5
6
7
8
2nd Heat
1
2
3
4
5
6
7
8
3rd Heat
1
2
3
4
5
6
7
8
4th Heat
1
2
3
4
5
6
7
8
5th Heat
1
2
3
4
5
6
7
8

Note: Attach "Official Result" for Track

Recorder Roll Caller

Athlete Steward
total pages to print - 300 pcs
 MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION
March ,2023
MALAYBALAY CITY

OFFICIAL RESULT

Event: _____________________
Place Ath. No. Name of Athletes Delegation Time Remarks
1st
2nd
3rd
4th
5th
6th
Event: _____________________
Place Ath. No. Name of Athletes Delegation Time Remarks
1st
2nd
3rd
4th
5th
6th
Event: _____________________
Place Ath. No. Name of Athletes Delegation Time Remarks
1st
2nd
3rd
4th
5th
6th
Event: _____________________
Place Ath. No. Name of Athletes Delegation Time Remarks
1st
2nd
3rd
4th
5th
6th
Event: _____________________
Place Ath. No. Name of Athletes Delegation Time Remarks
1st
2nd
3rd
4th
5th
6th
 MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION
March ,2023
MALAYBALAY CITY

FIELD EVENT SCORE SHEET (JUMPS / THROWS)

Date:
Event No.: ELEM. BOYS
Event: SEC. GIRLS

Round Ath. Attemps (Height / Distance) Final

Number NAME OF ATHLETE No. DELEGATION First 3 Round New Final Round Best Final
Rank
Sequence 1 2 3 Best Order 4 5 6 Attempt
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
19
20

RECORDER FIELD JUDGE FIELD JUDGE

CHIEF FIELD JUDGE Tournament Manager/Referee

 NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET
February 8 - 12, 2016
Pana-ad Stadium, Bacolod City

FIELD EVENT SCORE SHEET (HIGH JUMP / POLE VAULT)

Date:
Event No.: ( ) ELEM. ( ) BOYS
Event: ( ) SEC. ( ) GIRLS

Ath. Attempts TOTAL

No. NAME OF ATHLETE TEAM BEST
at Height FAILURE RANK
JUMP
Tied (S)

RECORDER FIELD JUDGE FIELD JUDGE

CHIEF FIELD JUDGE Tournament Manager/Referee
total pages to print - 40 pcs
 Athletics Form 4 Athletics Form 4

NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET
February 8 - 12, 2016 February 8 - 12, 2016
Pana-ad Stadium, Bacolod City Pana-ad Stadium, Bacolod City

TIMEKEEPER / JUDGE AT FINISH REPORT TIMEKEEPER / JUDGE AT FINISH REPORT

Event No.: Trial ( EB ( ) SB ( ) Event No.: Trial ( EB ( ) SB ( )

Event: Final ( EG ( ) SG ( ) Event: Final ( EG ( ) SG ( )
Heat No.: Heat No.:

RANK ATH. NO. DELEGATION TIME LANE RANK ATH. NO. DELEGATION TIME LANE

TIMEKEEPER / JUDGE AT FINISH TIMEKEEPER / JUDGE AT FINISH

(Printed Name & Signature) (Printed Name & Signature)

Athletics Form 4 Athletics Form 4

NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET NEGROS ISLAND REGIONAL ATHLETIC ASSOCIATION MEET
February 8 - 12, 2016 February 8 - 12, 2016
Pana-ad Stadium, Bacolod City Pana-ad Stadium, Bacolod City

TIMEKEEPER / JUDGE AT FINISH REPORT TIMEKEEPER / JUDGE AT FINISH REPORT

Event No.: Trial ( EB ( ) SB ( ) Event No.: Trial ( EB ( ) SB ( )

Event: Final ( EG ( ) SG ( ) Event: Final ( EG ( ) SG ( )
Heat No.: Heat No.:

RANK NO. DELEGATION TIME LANE RANK NO. DELEGATION TIME LANE

TIMEKEEPER / JUDGE AT FINISH TIMEKEEPER / JUDGE AT FINISH

(Printed Name & Signature) (Printed Name & Signature)
total pages to print - 300 pcs
Final Result Form for: 100m, 200m, 400m, 800m, 1500m, 3000m, 3000msc, 5000m, 100mh / 110mh, 400mh

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region-10

NORTHERN MINDANAO ATHLETIC ASSOCIATION

DECEMBER 12-16 ,2016
CAMIGUIN ISLAND PROVINCE

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Time Rank Place Remarks
1st Gold

2nd Silver

3rd Bronze

Tournament Secretary Chief Timekeeper Chief Judge at Finish

Track Referee Tournament Manager

total pages to print - 300 pcs
Final Result Form for: Triple Jump, Long Jump, Discus Throw, Shot Put, Javelin Throw, High Jump & Pole Vault

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region-10

MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION

March ,2023
MALAYBALAY CITY

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold

2nd Silver

3rd Bronze

Tournament Secretary Chief Field Judge

Field Referee Tournament Manager

Event No.__________ Category: EB EG SB SG
Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze
Event No.__________ Category: EB EG SB SG
Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze
Event No.__________ Category: EB EG SB SG
Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze
Event No.__________ Category: EB EG SB SG
Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze
Event No.__________ Category: EB EG SB SG
Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks
1st Gold
2nd Silver
3rd Bronze
Final Result Form for: 4X100m Relay & 4X400m Relay

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 10

MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION

March , 2023
MALAYBALAY CITY

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Time Rank Place Remarks

1st Gold

2nd Silver

3rd Bronze

Tournament Secretary Chief Timekeeper Chief Judge at Finish

Track Referee Tournament Manager

Finalist Form for: 100m, 200m, 400m, 800m, 100mh / 110mh, 400mh

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 10

MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION

FINALIST
March ,2023
MalAYBALAY CITY

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final

Lane No. Delegation Ath. No. Name of Athlete (LN, FN, MI) Distance/Height Rank Place Remarks

Recorder Roll Caller Athlete Steward

 REPLACEMENT FORM REPLACEMENT FORM

To the Roll Caller: To the Roll Caller:

Athlete No. IN Athlete No. IN

Athlete No. OUT Athlete No. OUT

Recorder Recorder

REPLACEMENT FORM REPLACEMENT FORM

To the Roll Caller: To the Roll Caller:

Athlete No. IN Athlete No. IN

Athlete No. OUT Athlete No. OUT

Recorder Recorder

REPLACEMENT FORM REPLACEMENT FORM

To the Roll Caller: To the Roll Caller:

Athlete No. IN Athlete No. IN

Athlete No. OUT Athlete No. OUT

Recorder Recorder

REPLACEMENT FORM REPLACEMENT FORM

To the Roll Caller: To the Roll Caller:

Athlete No. IN Athlete No. IN

Athlete No. OUT Athlete No. OUT

Recorder Recorder
total pages to print - 50 pcs
 LANE UMPIRE'S REPORT LANE UMPIRE'S REPORT
Event No. ___________ ( ) Trial ( ) Final Event No. ___________ ( ) Trial ( ) Final
Event: ______________ ( ) Elem. Girls ( ) Sec. Girls Event: ______________ ( ) Elem. Girls ( ) Sec. Girls
( ) Elem. Boys ( ) Sec. Boys ( ) Elem. Boys ( ) Sec. Boys
TO: THE TRACK REFERRE TO: THE TRACK REFERRE
THRU THE CHIEF LANE UMPIRE THRU THE CHIEF LANE UMPIRE

I HAVE SEEN / OBSERVED THE FOLLOWING INCIDENT HAPPEN IN MY A I HAVE SEEN / OBSERVED THE FOLLOWING INCIDENT HAPPEN IN M
REPONSIBILITY MADE BY THE ATHLETE NO. _______ ON LANE NO. _________. REPONSIBILITY MADE BY THE ATHLETE NO. _______ ON LANE NO. _______

ACTUAL INCIDENT / HAPPEN ACTUAL INCIDENT / HAPPEN

VILOATIONS: VILOATIONS:
( ) Cross Lane ( ) Shortening the Distance ( ) Cross Lane ( ) Shortening the Distance
( ) Obstruction ( ) Impediment ( ) Obstruction ( ) Impediment
( ) Received the baton before the passing zone ( ) Received the baton before the passing zone
( ) Received the baton after the passing zone ( ) Received the baton after the passing zone
( ) Intentional kicking / knocking of hurdles ( ) Intentional kicking / knocking of hurdles
( ) Others, specify _______________________________ ( ) Others, specify _______________________________

PLACE OF VIOLATION: ___________________________ PLACE OF VIOLATION: ___________________________

FOR YOUR INFORMATION, CONSIDERATION AND DECISION FOR YOUR INFORMATION, CONSIDERATION AND DECISION

Lane Umpire Lane Umpire

(Printed name & signature) (Printed name & signature)
NOTED: NOTED:

CHIEF LANE UMPIRE CHIEF LANE UMPIRE

(Printed name & signature) (Printed name & signature)

REFEREE'S DECISION: REFEREE'S DECISION:

Track Referre Track Referre

LANE UMPIRE'S REPORT LANE UMPIRE'S REPORT

Event No. ___________ ( ) Trial ( ) Final Event No. ___________ ( ) Trial ( ) Final
Event: ______________ ( ) Elem. Girls ( ) Sec. Girls Event: ______________ ( ) Elem. Girls ( ) Sec. Girls
( ) Elem. Boys ( ) Sec. Boys ( ) Elem. Boys ( ) Sec. Boys
TO: THE TRACK REFERRE TO: THE TRACK REFERRE
THRU THE CHIEF LANE UMPIRE THRU THE CHIEF LANE UMPIRE

I HAVE SEEN / OBSERVED THE FOLLOWING INCIDENT HAPPEN IN MY A I HAVE SEEN / OBSERVED THE FOLLOWING INCIDENT HAPPEN IN M
REPONSIBILITY MADE BY THE ATHLETE NO. _______ ON LANE NO. _________. REPONSIBILITY MADE BY THE ATHLETE NO. _______ ON LANE NO. _______

ACTUAL INCIDENT / HAPPEN ACTUAL INCIDENT / HAPPEN

VILOATIONS: VILOATIONS:
( ) Cross Lane ( ) Shortening the Distance ( ) Cross Lane ( ) Shortening the Distance
( ) Obstruction ( ) Impediment ( ) Obstruction ( ) Impediment
( ) Received the baton before the passing zone ( ) Received the baton before the passing zone
( ) Received the baton after the passing zone ( ) Received the baton after the passing zone
( ) Intentional kicking / knocking of hurdles ( ) Intentional kicking / knocking of hurdles
( ) Others, specify _______________________________ ( ) Others, specify _______________________________

PLACE OF VIOLATION: ___________________________ PLACE OF VIOLATION: ___________________________

FOR YOUR INFORMATION, CONSIDERATION AND DECISION FOR YOUR INFORMATION, CONSIDERATION AND DECISION

Lane Umpire Lane Umpire

(Printed name & signature) (Printed name & signature)
NOTED: NOTED:

CHIEF LANE UMPIRE CHIEF LANE UMPIRE

(Printed name & signature) (Printed name & signature)

REFEREE'S DECISION: REFEREE'S DECISION:

Track Referre Track Referre
 total pages to print - 50 pcs

ec. Girls
ec. Boys

T HAPPEN IN MY AREA OF
NE NO. _________.

D DECISION

ec. Girls
ec. Boys

T HAPPEN IN MY AREA OF
NE NO. _________.

D DECISION
 NUMBER OF MEDALS NEEDED

Events Category Gold Silver Bronze

100m 4 4 4 4
200m 4 4 4 4
400m 4 4 4 4
800m 4 4 4 4
1500m 4 4 4 4
3000m 1 1 1 1
3000 msc 1 1 1 1
5000m 1 1 1 1
100mh 2 2 2 2
110mh 2 2 2 2
400mh 4 4 4 4
4 x 100 4 16 16 16
4 x 400 4 16 16 16

High Jump 4 4 4 4
Long Jump 4 4 4 4
Triple Jump 4 4 4 4
Pole Vault 1 1 1 1
Shot Put 4 4 4 4
Discus Throw 4 4 4 4
Javelin Throw 4 4 4 4

* Additional in case of
tie for high jump and
4 4 4

pole vault
2000 m walk 2 2 2 2
Total MEDALS 94 94 94
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 10
MALAYBALAY CITY DIVISION ATHLETIC ASSOCIATION
March ,2023
MALAYBALAY CITY

Event No.__________ Category: EB EG SB SG

Event:_____________ Level: Trial Final
Heat No: __________
No. Delegation Ath. No. Name of Athlete (LN, FN, MI)
1
2
3
4
5
6
7
8
Heat No: __________
No. Delegation Ath. No. Name of Athlete (LN, FN, MI)
1
2
3
4
5
6
7
8
Heat No: __________
No. Delegation Ath. No. Name of Athlete (LN, FN, MI)
1
2
3
4
5
6
7
8
Heat No: __________
No. Delegation Ath. No. Name of Athlete (LN, FN, MI)
1
2
3
4
5
6
7
8 `
Heat for Athlete No.1
A 1 4 5 8 9
B 2 3 6 7 10

Heat for Athlete No.2

A 1 4 5 8 9
B 2 3 6 7 10
12 13 1. Bukidnon
11 14 2. Cagayan de Oro City
3. Camiguin
4. El Salvador City
12 13 5. Gingoog City
11 14 6. Iligan City
7. Lanao del Norte
8. Malaybalay City
9. Misamis Occidental
10. Misamis Oriental
11. Oroquieta City
12. Ozamis City
13. Tangub City
14. Valencia City