Department of Education

Division of Southern Leyte

SAN FRANCISCO DISTRICT

GALLERY OF ATHLETES

Event : BASKETBALL (Secondary - Girls)

NAME NAME NAME

Date of Birth Date of Birth Date of Birth
Age Age Age

NAME NAME NAME

Date of Birth Date of Birth Date of Birth
Age Age Age

____________________________ GERARDO BAJA

Coach School Sports Coordinator
 Department of Education
Division of Southern Leyte
SAN FRANCISCO DISTRICT
San Francisco, Southern Leyte

DOCUMENTS’ CHECK LIST

PARENTA
FORM MEDICAL
NAME NSO L REMARKS
10 CERTIFICATE
CONSENT

Prepared by:

MR./MS. COACH
Coach

Attested by:

GERARDO BAJA
School Sports Coordinator

Verified by:

_______________________________
District Sports Coordinator