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FORM-SSC.2-School-Sports-Club-Attachment-Form-v1_(1)[1]

The document is a School Sports Club Attachment Form from the Department of Education in the Philippines, detailing various sports clubs established on October 15, 2023, including Men's and Women's Volleyball, Chess, Sepak Takraw, Badminton, Billiards, and Basketball. Each club lists its facilitator, members, and grade levels, along with a proposed schedule for activities. Additionally, it includes sections for available sports equipment and facilities, as well as a declaration by the sports club coordinator and verification by school officials.

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john cleen
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4 views

FORM-SSC.2-School-Sports-Club-Attachment-Form-v1_(1)[1]

The document is a School Sports Club Attachment Form from the Department of Education in the Philippines, detailing various sports clubs established on October 15, 2023, including Men's and Women's Volleyball, Chess, Sepak Takraw, Badminton, Billiards, and Basketball. Each club lists its facilitator, members, and grade levels, along with a proposed schedule for activities. Additionally, it includes sections for available sports equipment and facilities, as well as a declaration by the sports club coordinator and verification by school officials.

Uploaded by

john cleen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.2: School Sports Club Attachment Form

INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable.


DO NOT ABBREVIATE.

I. SPORTS CLUB INFORMATION

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: Mens Volleyball Sports Club
Established Date: October 15,2023
Sports Club Facilitator/s: Noel B. Dagta
Sports Club Member/s:
Members’ Name Grade Level
1. John Denver Talagtag 10
2.John Ariel Boado 10
3. Anthony Obrero 10
4. Dennis Rojas 12
5. Jeonard Abinal 11
6. Francis Argarin 11
7. Josua Kent Macasaya 9
8. Christian Cedron 11
9. Chris Paul Lucena 8
10. Jefferson Delgaco 9
11. Vince Kenjie Cezar 12
12. Jonjon Lamagan 11
13. Christian Razonable 11

Sport’s Club Name: Women’s Volleyball Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: Noel B. Dagta
Sports Club Member/s:
Members’ Name Grade Level
1.Kristen Mea Sedan 11
2. Bea Razonable 11
3. Remy Brojan 12
4. Kryzhea Mae Baylon 11
5. Arril Faith Landong 10
6. Jeizel Delgaco 10
7. Angel Mesuga 10
8. Jily Bermal 8
9. Romelyn Villanueva 11
10.

Sport’s Club Name: Chess Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: John Cleen V. Sionicio
Sports Club Member/s:
Members’ Name Grade Level
1. John David Boto 9
2.Youhan Docot 9

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525
3.Christian Bolivar 12
4. Mary Joy Ramos 10
5.Shekinah Mylene Galan 8

Sport’s Club Name: Sepak Takraw Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: Rodulfo Orgaya
Sports Club Member/s:
Members’ Name Grade Level
1. Kenjay Trilles 11
2. Jason Sabao 11
3. Alvin Abinal 11
4. Adrian Ibo 11
5. Aljur Razonable 9
6. James Zuňiga 11

Sport’s Club Name: Badminton Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: Liezel Rustria
Sports Club Member/s:
Members’ Name Grade Level
1. Miguel Von Castro 9
2. Zhai John Alub 9
3. Edwin Bien 12
4. Joshua Talagtag 8
5. Reymomnd Regaspi 11
6. Arian Castro 8
7. Shalymar Landong 10
8. Rhian Hugo 9
9. Erica Sandrino 9
10. Krisha Colambo 9

Sport’s Club Name: Billiards Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: Wilbert Septo
Sports Club Member/s:
Members’ Name Grade Level
1. Sean James I. Martirez 9
2. Jona Lyn S. Intia 7
3.
4.

Sport’s Club Name: Basketball Sports Club


Established Date: October 15,2023
Sports Club Facilitator/s: Mark Onoya
Sports Club Member/s:
Members’ Name Grade Level
1. Edd Mathew E. Samar 9
2. Andrei Orosco 9
3. Johnrey Oriola Abinal 9
4. Marvin Bulacan 11
5. Christian Carl Talagtag 11
6. Angelo Turiaga 10
7. Kier Angelo Villarba 10
8. Jelord Tuyay 8
9. Dave Frias 7

Sport’s Club Name:


3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
Established Date: October 15,2023
Sports Club Facilitator/s:
Sports Club Member/s:
Members’ Name Grade Level
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.

II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thur Fri Sat
s
Example
3:00PM-4:00PM Arnis Sports Club /
4:00PM-5:00PM Chess Sports Club /
5:00PM-6:00PM Sepaktakraw Sports Club /

Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thur Fri Sat
s
4:00PM-6:00PM Mens/womens Volleyball Sports / / / / / /
Club
4:00PM-6:00PM Chess Sports Club / / / / / /
4:00PM-6:00PM Sepak Takraw Sports Club / / / / / /
4:00PM-6:00PM Basketball Sports Club / / / / / /
4:00PM-6:00PM Billiards Sports Club / / / / / /

III. LIST OF AVAILABLE SPORTS EQUIPMENT AND SPORTS FACILITIES


Tick the box if standard sports equipment and facilities are available and ready to use. Put remarks and add rows if necessary.

Learning Facilities Remarks


Track and field oval
Gymnasium / covered court
Basketball court /
Volleyball court /
Swimming pool
Football/ softball/ baseball field
Spacious playing area /
Others: ___________________
___________________
___________________

Sports Equipment Remarks


Chess board /
Volleyball ball/net/pole /
Badminton rocket /net /
Takraw ball and net /

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525
IV. SPORTS ACTIVITIES, PROGRAMS AND/OR PROJECTS
Give at least (3) three recent activities, programs, projects or any other initiatives implemented related to sports.
Add rows if necessary.

Activities/Programs/Projects Date of Implementation


1.

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
Noel B. Dagta
Coordinator
Signature q
Date September 09,2024

Certified by:
Principal/Officer-in-
Conrado Botor
Charge
Signature
Date September 09,2024

Verified by:
Division Sports Officer Joseph Sarsaba
Signature
Date September 09,2024

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525

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