Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
SCHOOLS DIVISION OFFICE OF PANGASINAN II

FORM SSC. 2: School Sports Club Attachment Form

INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable.

DO NOT ABBREVIATE.

I. SPORTS CLUB INFORMATION

Sport’s Club Name: SCIS SEPAKTAKRAW BOYS & GIRLS CLUB
Established Date: FEBRUARY 13, 2023
Sports Club Facilatator/s: LEOPOLDO T. DOMINGO JR. / CATHERINE M. GAMBOA
Sports Club Member/s:
Members’ Name Grade Level
1. JOHN PAUL ROLAND GRADE 11
2. FLORENCE IGONEZ GRADE 11
3. JOHN LESTER VALERA GRADE 10
4. JOHN KEVIN VALDEZ GRADE 10
5. JOHN LOYD LACUESTA GRADE 10
6. JAMES HAROLD ORIA GRADE 9
7. JANRY MARK OLIVETE GRADE 8
8. JOHN LUIS MERIALES GRADE 8
9. RAY ANGELO MALABED GRADE 8
10. JV MERIALES GRADE 7
11. MARK DAVID DELA ROSA GRADE 8
12. GUENDON MARK FISH GRADE 8
13. DEXTER VALDEZ GRADE 8
14. SHAIRA NICOLE SONGCUAN GRADE 8
15. JEAN CLYDE OINEZA GRADE 8
16. JAZZIELLE TASHIEKA MUNAR GRADE 8
17. DENNISE LORIN BUSTO GRADE 10
18. ASHLEY MAE OLIGO GRADE 10
19. ASHLEY JANE REDULFIN GRADE 8
20. WINDY MENDALLA GRADE 8
21. AMALIA MARQUEZ GRADE 9
22.
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24.
Create a copy of this page if four or more sports clubs are being offered. Add rows and columns if necessary.