Activity Information

Name of School: Division:

Cavite Province
Tanza National Comprehensive High School Region:
IV – A CALABARZON

Title of the Activity: Subject Area:

OFF – CAMPUS ACTIVITY MAPEH

Purpose of the Activity: Proponent Activity Head:

Show the importance of pursuing Tanza National
education and increase awareness Comprehensive
Florencio C. Costa,
regarding cultural heritage. High School
EdD

Destination/Venue: Departure Date: Departure Time:

1) STAR CITY January 13, 2023 5:00AM
2) FORT SANTIAGO
Return Date: Return Time:
3) LUNETA LIGHTS AND
SOUNDS
4) DOLOMITE BEACH
June 13, 2023

Grade Level: (encircle) No. of Learners:

Kinder 1 2 3 4 5 6 7 8 9 10 11 12

Fund Source: Budget Estimate: (breakdown if necessary)

Parents PhP 1,600.00

Content of Activity

Linkage with the ESIP-AIP Target Key Stage and Educational

Competencies (as per K-12 Curriculum Guide)

To enhance the multi-

intelligences, varied skills, and Competencies (as per K-12 Curriculum
competencies of pupils to Guide) The implementation of K to 12
increase their level of Curriculum is geared towards the
achievement. holistic development of the learner. As
such, the educational tour is packed
with educational culture in support to
the learning process. This activity will
enhance classroom-based theories and
 concepts with immersive activity-based
learning experiences.

ANNEX A: OFF-CAMPUS ACITIVITY PROPOSAL

Please submit the completed proposal and copy of required attachments below to
the concerned approving offices at the Region and/or Division Offices at least 1
month prior to the conduct of the activity.

Attachments (if applicable):

• Certified True Copy of Accreditation Certificate by the Department of Tourism
(DOT)
• Certified True Copy of Certification from the Land Transportation, Franchising
and Regulatory Board (LTFRB) on the validity and scope of franchise of the tour
operator’s vehicle/s, if applicable
• Copy of Registration of Vehicles

• Copy of Professional Driver’s License and Updated Medical Record

• Copy of Roadworthiness Certificate

• Information and Cost of Travel Insurance

• Indicative Program (including the itinerary of activities)

• Other expenses that may be incurred

• Information on the place/s to visit

Chaperone’s Information

Position/
Name Contact Number
Designation

HAYDEE R. JOCSON SPTA, President 09498127190

LIGAYA G. PINEDA SPTA, Vice - President 09177948881

OLGA C. FERRER SPTA, Secretary 09278159653

GERALDINE D. CELESTIAL SPTA, Treasurer 09217290604

RAYMOND R. ARENDELA SPTA, Auditor 09603385188

RAUL BONDAL ALMONIA Master Teacher I 09166367542

DESIRIE T. PRIM Teacher III 09068651301

JUNIELYN P. DELOS REYES Teacher II 09168809870

REX GAREATHO A. MAGHANOY Teacher II 09068755519

CAREN M. ADONA Teacher I 09684919491

MILLETTE M. ARAÑAS Teacher I 09059030593

ANTHONY B. BAGO Teacher I 09236821545

ANALYN L. GONZALES Teacher I 09079467571

RODOLFO P. MEMITA Teacher I 09606583478

NORMAN JHUNE G. PALMA Teacher I 09776503496

ANGELA N. PALOYO Teacher I 09661392193

RETCHIE R. PERIDO Teacher I 09751133007

JEFFREY M. SUPELANA Teacher I 09684919512

For DepEd Initiated Activities

Position/
Name of Person in Charge Name of Office/Unit Contact Number
Designation

FLORENCIO C. COSTA PRINCIPAL IV TNCHS

MAGDALENA E. AQUINO HEAD TNCHS 09262325465

TEACHER IV

WILLIAM B. LUSOK TEACHER II TNCHS 09169223782

For Non-DepEd Initiated Activities

Name of Person
Name of Service Provider Position/Designation Contact Number
in Charge

Hunnypot Travel and Lilibeth General 09175452921

Tours Balderas Manager/Owner

Logistical Requirements

Means of Transportation
Air-conditioned bus
 Transportation Name of Service Provider (if applicable)
HUNNYPOT TRAVEL AND TOURS

Contact Details of Service Provider

● Name: Lilibeth Balderas

● Contact Number: 09175452921

ANNEX B: MANIFEST
All participants shall fill out this form completely before leaving the school premises
and upon return. As necessary, this shall be completed in triplicate for School
Administration, Faculty Member, and Vehicle Driver’s copy.
Name of School: TANZA NATIONAL COMPREHENSIVE HIGH SCHOOL

Title of Activity: OFF – CAMPUS ACTIVITY

Destination/Venue: (indicate all) STAR CITY, FORT SANTIAGO, LUNETA

LIGHTS AND SOUNDS, AND DOLOMITE BEACH

Vehicle Number: No. of Learners:

Departure Date: JANUARY 13, 2023 Return Date: JUNE 13, 2023

Departure Time: 5:00AM Return Time:

Learner/Parent/
Passenger’s Contact Departure Return
Guardian/Teacher/
Name Number/s (sign) (sign)
Others

ANNEX C: PARENT’S/GUARDIAN’S CONSENT FORM

Name of Learner:
Date of Birth: Sex:
Parent’s/Guardian’s Name:
Relationship to Learner:
Home Address:
 Contact Number/s:
Title of the Activity:
Venue: Date of Activity:

As the parent/guardian of the abovementioned learner. I hereby

acknowledge that I have been informed of the details of the off-campus activity and
voluntarily and freely elect to participate in this off-campus activity. Furthermore, I
understand the risks associated with an off-campus activity and agree that the
rules and regulations established for the said activity are for the safety and security
of the participants, and thus agree to instruct my child or children to obey them.
Having understood all the aforementioned, I hereby consent to allow my
child or children to participate, acknowledging all of the foregoing. I am also solely
responsible for providing travel insurance and any expenses for my child or
children’s participation in the activity.

Parent/Guardian’s Name and Date

Signature

Notes (other information you may wish to inform the teacher, such as child’s medical
condition, etc.):