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Republic of the Philippines

Department of Education
Schools Division of Zambales
District of San Antonio
SAN MIGUEL NATIONAL HIGH SCHOOL
School ID: 301032
Email: smnhsmain1970@gmail.com
San Antonio, Zambales

NATIONAL DRUG EDUCATION PROGRAM


“Kabarkada Kontra Droga”

MOBA KONTRA DROGA APPLICATION FORM


A KKD activity aiming for drug free school

Name:_____________________________________ Rank:________________________
Grade and Section:__________________________ Name of Team:________________
Best Pick:__________________________________ Role:________________________

Requirements Check List


1. Duly signed parent consent
2. Photo copy of last school year Form 137
3. Adviser’s endorsement
4. Grade Level Teacher-Manager endorsement
5. Other given requirements (pls. Specify)

Player’s Pledge
I pledge to have a positive attitude and accept responsibility for my participation by
following this code of ethics: I will obey the set rules and regulations. I will encourage and
demonstrate good sportsmanship. I will be a good sport and play fair I will put winning
and losing in perspective I will not engage in any unsportsmanlike conduct such as trash
talking, booing, taunting or refusing to shake hands, or using profane language or gestures
I will never question an official. I believe in myself and my abilities. I will learn from my
mistakes I will treat my teacher-coaches, other players, officials, and fans with respect I
will be patient with my teammates and remember that everyone has strengths and
weaknesses. A TEAM game succeeds only when the entire team plays well together. I will
remember that games are an opportunity to learn and have fun.

Player’s Signature Over Printed Name

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