RICHBAR INSTITUTE OF TECHNICAL SKILLS

STUDENT-FAMILY REUNIFICATION FORM

Date: _________ Time: _________

STUDENT NAME GRADE/SECTION NAME OF APPROVED Contact # & DESIGNATION SIGNATURE VERIFIED BY THE
EMERGENCYCONTACT (Mother, Father, Guardian, etc.) CLASS ADVISER
No.

PICKING UP STUDENT
1 Benzon, Bon Joven, Grefalda 12 – Del Pilar Armely V. Niedo
2 Capuz, Renz Marionne, Pingaron 12 – Del Pilar Armely V. Niedo
3 Dominguez, Jessie, Baril 12 – Del Pilar Armely V. Niedo
4 Monteverde, Angelo, Baile 12 – Del Pilar Armely V. Niedo
5 Morales, Christian Dave, Asok 12 – Del Pilar Armely V. Niedo
6 Patricio, Shann, Oledan 12 – Del Pilar Armely V. Niedo
7 Sanjorjo, Dan, Longcanaya 12 – Del Pilar Armely V. Niedo
8 Tambaoan, Jhemil Ace, Gasang 12 – Del Pilar Armely V. Niedo
9 Vallega, Jupher, Custodio 12 – Del Pilar Armely V. Niedo
10 Villaruz, Kenneth, Anastacio 12 – Del Pilar Armely V. Niedo
11 San Pablo, Abegail, Lotivo 12 – Del Pilar Armely V. Niedo
12 Trapsi, Roselyn Joy, Antonio 12 – Del Pilar Armely V. Niedo
(Note: There should be at least 3 approved person to fetch the pupil/s)