Form SS2
Form SS2
Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.2: School Sports Club Attachment Form
Create a copy of this page if four or more sports clubs are being offered. Add rows and columns if necessary.
Sport’s Club Name: ARNIS CLUB (BOYS)
Established Date: JANUARY 2023
Sports Club Facilitator/s: REY T. ENSEPEDO, ANNA MARIE V. PELINIO/ JULIE TEN R. ORTEGA
Sports Club Member/s:
Members’ Name Grade Level
1.DARWIN JR T. GALVEZ GRADE VI
2.DOLIBOY R. RELOS GRADE VI
3.EDMAR V. SABOLBORA GRADE VI
4.KIM D. YULO GRADE VI
II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thurs Fri Sat
2.
3.
Declaration:
I hereby declare the information provided in this application is true and correct and there have been no
misleading statements, omission of any relevant facts nor any misinterpretation made.
Prepared by:
Sports Club Coordinator REY T. ENSEPEDO
Signature
Date 1/16/2023
Certified by:
Principal/Officer-in-Charge NERISSA J. ARELLANO
Signature
Date 1/16/2023
Verified by:
Division Sports Officer JOSETTE P. BALANDRA
Signature
Date