Revised as of September 26, 2019

Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION VII, CENTRAL VISAYAS
Region
DIVISION OF TANJAY CITY
Division
DOMINGO LEDESMA MAPA SCHOOL
School
Hda. Mapa Sta. Cruz Viejo, Tanjay City
School Address

January 27, 2020

Date

CERTIFICATE OF COMMITMENT

I, Essa Flor L. Canillo, of legal age, single/married/widow, Filipino citizen, and

(Name of Chaperon)

presently working as SHST-II at Brgy. Talungon, Bais City, Neg. Or. , hereby
(Position) (Work Address)

commit myself to nurture the athletes of _ARNIS , provided that due care and
(Name of Event)
precaution will be observed to ensure the comfort and safety of the athletes until the last

day in the Lower Meet up to the Palarong Pambansa.

That I will not interfere in the Coaching of our Team or Act as Coach of the

Athlete as it is not my responsibility to do so.

____ESSA FLOR L. CANILLO__

Signature over Printed Name of Chaperon

Verified:

___MARIFE L. ALBA__
School Head
(Signature Over Printed Name)

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)