The Roman Catholic Diocese of Alaminos

Diocesan Youth Ministry

Christ the King Youth
Camp 2023
Our Lady of Pillar | November 24-26

REGISTRATION FORM
Parish/School: DASOL CATHOLIC SCHOOL
BREAKOUT
NAME DESIGNATION AGE BIRTHDAY SIGNATURE SESSIONS
(e.g. S1)
1. Jessie F. Peralta Coordinator 22 April 27, S1
2001
2. Prince Jerous R. Balonzo 18 October 14, S2
2005
3. Chester Lloyd Alcasid 14 September 2, S3
2009
4. Gian Mirador 16 October 19, S4
2007
5. Jorgia Marie Gallegos 16 October 22, S5
2007
6. Cyrine Bustamante 17 August 9, S6
2006
7. Erica De Guzman 18 May 28, S7
2005
8. Samantha Alexis R. Ramos 15 July 10, 2008 S8
9. Karylle Opada 18 December S9
16, 2004
10. Helena Anne Gacutan 18 August 13, S10
2005
11. Quenie Bongar 17 June 16, S11
2006
12. John Gabriel Ubay 17 June 11, S12
2006
13. Kaiser Shynne Garcia 14 September 2, S13
2009
14. Manuela Jeanelle Vocal 15 November S14
21, 2007
15. Megan Bustria 14 July 5, 2009 S15
16. Paulina Oliveros 15 April 28, S16
2007
17. Rue Hanae David 14 December S17
26, 2008
18. Shayne Bustria Abella 17 November S11
23, 2005
19. Breth Igo Nagangi 14 February 7, S1
2009
20. Leonard Bunao 18 June 21, S4
2005
Aljelene Villanueva Auxiliary
Mhary Balicolon Auxiliary
*if the Coordinator or leader will not be present in the event please leave the space blank. Fill out properly the
auxiliary space provided.
Accomplished by: _________________________________________

Approved by: _________________________________________

FEES AMOUNT REMARKS
REGISTRATION 50.00 per head
SOLIDARITY 500.00 per delegation
TOTAL
Paid by: Received by: Approved by:

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