2017 WELLNESS CAMPUS

SCHOOL IMPLEMENTATION FORM

Name of School: Division: Contact No.

Way of Validating
Date October 23, 2017
Time

Activity Implemented Total Equipment Facility Remarks

I Dancercise Flag Ceremony

MAPEH Classes

ELEMENTARY
II GRADE 1 Module 1: Pinggang Pinoy
Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages

III GRADE 2 Module 1: Pinggang Pinoy

Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages

IV GRADE 3 Module 1: Pinggang Pinoy

Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages

V GRADE 4 Module 1: Pinggang Pinoy

Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages

VI GRADE 5 Module 1: Pinggang Pinoy

Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages
 VII GRADE 6 Module 1: Pinggang Pinoy
Module 2: Glow Foods
Module 3: Grow Foods
Module 4: Go Foods
Module 5: Water & Nutritious Beverages

VIII Other Reports/ActivitiesImplementation of Parent Circular

Submission of Parent Consent and Waiver
Submission of Program Portfolios

Feedback from School Representatives:

Request by Validated with: Confirmed by:

Division Coordinator (Signature Over Printed Name) School Representave

Signature Over Printed Name) (Signature Over Printed Name)