Republic of the Philippines
Department of Education
Schools Division of Cebu Province
San Remigio District II
Calambua Integrated School
Calambua, San Remigio, Cebu
SCHOOL INTRAMURALS
Sports Equipment Request Form
S.Y. 2023-2024
# Quantity Unit Item Remarks
1 1 pc Javeline for Boys
2 1 pc Shut Put (8kgs.) Boys
3 1 pc Discuss Throw (Girls & Boys)
4 2 pcs. Chess Mat
5 2 set Improvised Pingpong Tables
6 6 pcs. Babminton Racket
7 1 pc net
8 4 tubes Shuttlecock
9 3 pcs. Masking Tape (1 inch)
10 1 roll straw
11 20 meters pisi
12 Kawayan
13
Prepared by:
LYDIA V. AYING
Pess Coordinator/ Elementary
Checked by:
JAIME A. PEPITO
Principal
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
Republic of the Philippines
Department of Education
REGION VII - CENTRAL VISAYAS
Schools Division of Cebu Province
CALAMBUA INTEGRATED SCHOOL
Calambua, San Remigio, Cebu
PARENTAL CONSENT FORM
Date: OCTOBER 8, 2024
To Whom It May Concern:
I/We hereby willingly and voluntarily give consent to the participation of our
son/daughter ____________________________________________ in
the_____________________________ at the DISTRICT MATH EXPO, to be held at LUYANG
ELEMENTARY SCHOOL on OCTOBER 11, 2024.
I/We have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care, diligence and necessary precautions
will be observed to ensure his/her health and safety.
Further, I/We authorize the personnel of Department of Education to collect, process,
retain, and dispose of personal information of the above-mentioned participant in
accordance with the Data Privacy Act of 2012.
______________________________ _____________________________
Signature of Father Over Printed Name Signature of Mother Over Printed Name
Verified:
______________________________ JAIME A. PEPITO
Adviser School Principal
(Signature Over Printed Name) (Signature Over Printed Name)
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
Republic of the Philippines
Department of Education
REGION VII - CENTRAL VISAYAS
Schools Division of Cebu Province
CALAMBUA INTEGRATED SCHOOL
Calambua, San Remigio, Cebu
PARENTAL CONSENT FORM
Date: OCTOBER 8, 2024
To Whom It May Concern:
I/We hereby willingly and voluntarily give consent to the participation of our
son/daughter ____________________________________________ in
the_____________________________ at the DISTRICT MATH EXPO, to be held at LUYANG
ELEMENTARY SCHOOL on OCTOBER 11, 2024.
I/We have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care, diligence and necessary precautions
will be observed to ensure his/her health and safety.
Further, I/We authorize the personnel of Department of Education to collect, process,
retain, and dispose of personal information of the above-mentioned participant in
accordance with the Data Privacy Act of 2012.
______________________________ _____________________________
Signature of Father Over Printed Name Signature of Mother Over Printed Name
Verified:
______________________________ JAIME A. PEPITO
Adviser School Principal
(Signature Over Printed Name) (Signature Over Printed Name)
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
DATE VENUE ACTIVITIES UNDERTAKEN REMARKS
Joined enthusiastically the opening parade.
9 / 07 / Calambua Attended the Opening Program and delivered Successfully
2024 Integrated a welcome address to the participants. done
School Assisted in the preparation and presentation
of our team.
Served as a coach for the chess event, guiding
and supporting our players.
9 / 08 / Calambua Attended the awarding and closing program, Successfully
2024 Integrated witnessing the culmination of the event and done
School celebrating the achievements of all
participants.
Prepared by:
LYDIA V. AYING
Teacher II
Noted by:
JAIME A. PEPITO
School Principal
Approved by:
LANI B. ARCILLA
PSDS
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
SCHOOL INTRAMURALS 2024
DOCUMENTATION
September 7-8,2024
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
SCHOOL INTRAMURALS 2024
DOCUMENTATION
September 7-8,2024
Prepared by:
LYDIA V. AYING
Teacher II Noted by:
JAIME A. PEPITO
School Principal
Approved by:
LANI B. ARCILLA
PSDS
School Name: Calambua Integrated School
Office Address: Calambua, San Remigio, Cebu
Contact Number: 09217999162
Email Address: 500666@deped.gov.ph
