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NO.

OF QUALIFIED
SCHOOL DIVISION OF CALBAYOG CITY ATHLETES
CALBAYOG CITY ATHLETIC ASSOCIATION MEET (CCAA) 2023
MARCH 3-5, 2023
_____________
EVENT_________________________________ BOYS_____ GIRLS_____
COMBATIVE _________ NON-COMBATIVE_______ SIGNATURE:_____

CERT MEDICAL CERT.


NAME NSO/ SF10/ OF PARENTAL DENTAL
REMARKS
PSA 137 ENROL CONSENT CERT.
(SURNAME, FIRST NAME, MI)
LMENT
1 2

COACH/ASST. COACH/CHAPERONS

ATHLETES
1. DIOMANGAY, ELVIS PRESLY P.
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Prepared by: Noted:


___________________________
Coach
Cel No. ____________________ ___________________________
District Athletic Manager/PSDS

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