Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.1: SCHOOL SPORTS CLUB REGISTRATION FORM

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

A. Basic Information
Region VI Divisio SAGAY CITY
n

Name of School TALUSAN ELEMENTARY SCHOOL School ID 117707

Address PUROK KULO, BRGY. BULANON, SAGAY CITY, NEGROS OCCIDENTAL

Email address (if any) 117707.@deped.ph Telephone No. 09561357575

Website URL (if any)

B. School Profile

Talusan Elementary School is a Child- Friendly school located at Purok Kulo, Brgy.
Bulanon, Sagay City with an estimated distance of 12 kilometers away from City proper.
Talusan Elementary School offers from Kindergarten to Grade 6.

Talusan Elementary School is one of the progressive schools in Sagay District V. Last
June 27, 2022, TES had its 47th Virtual Exercises. The school remained standing firm
and tall despite uncertainties, challenges and constant change. In fact, the school
continue to grow and improve from its physical facilities, which includes school sites and
building development, growing number of teachers. As of now, Talusan Elementary
School has 29 teaching and non-teaching personnel. Also, the school continues to grow
its enrolment. Recently, the school has almost 900 enrollees.

TES faculty and staffs continues to serve it best to produce quality graduates which
embodies DepEd core values and globally competitive graduates which are responsive
and adaptive to the needs of tim

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525
C.Sports Club
C.1 Mandatory Sports
At least three out of six mandatory sports; however you may establish any preferred sports club.
Add rows if necessary.
1.ARNIS CLUB (BOYS & GIRLS)
2.BADMINTON CLUB (BOYS & GIRLS)
3.
4.
5.
6.

C.2 Preferred Sports

Add rows if necessary.
1.ARNIS 7.
2.BADMINTON 8.
3. 9.
4. 10.
5. 11.
6. 12.

Declaration:
I hereby declare the information provided in this application is true and correct and there have been no
misleading statements, omission of any relevant facts nor any misinterpretation made.

Prepared by:
Sports Club Coordinator REY T. ENSEPEDO
Signature
Date 1/16/2023

Certified by:
Principal/Officer-in-Charge NERISSA J. ARELLANO
Signature
Date 1/16/2023

Verified by:
Division Sports Officer JOSETTE P. BALANDRA
Signature
Date
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525