NESTLÉ WELLNESS CAMPUS INTER-SCHOOL, INTER-REGION COMPETITION

REGISTRATION FORM and WAIVER

Region: __VII_________________________
Division: __CARCAR CITY________________

SCHOOL INFORMATION:
Name of School: CARCAR CENTRAL NATIONAL HIGH SCHOOL
Category: Junior High School
School Address: P. NELLAS ST., POBLACION 3, CARCAR CITY, CEBU

By submitting this registration form we hereby:

1. Confirm our participation in the following competitions for the SY 2022–2023 Nestlé Wellness
Campus Program: (Please check the box below for the contest in which your school will
participate.)
€ Recycled Artwork Contest (Grade School Only) – (Signed Parents Waiver Form Needed)
€ Virtual Poster Making Contest (High School Only) - (Signed Parents Waiver Form Needed)
€ Virtual Cook-Off Competition – (Signed Parents Waiver Form Needed)
€ Virtual Dancercise Competition - (Signed Parents Waiver Form Needed))
€ Healthy Habits Best Practices Competition

Note: Students participating in the contest should fill out the Parents' Waiver Form. The duly
signed parental waiver form is attached to the registration form. Please note further, that
there is a separate parental waiver per contest.

2. Understand the full mechanics and abide by the rules and regulation of the contest
3. Agree to represent our Division in the Nestlé Wellness Campus Inter-school, Inter-region
Competition.
4. Certify that we have started the implementation of the Nestlé Wellness Campus program as pre-
requisites to the contest

Kindly note the date when you have started with the program implementation of the following
activities:
● Wellness Campus Modules
Start Date: NOVEMBER 7, 2022

● Wellness Campus Dancercise

Start Date: OCTOBER 17, 2022

NAOMIE T. CAMORO
School Representative’s
Signature Over Printed Name

09473678505
Contact Number

OCTOBER 24, 2022

Date