Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
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

Create a copy of this page if four or more sports clubs are being offered. Add rows and columns if necessary.
Sport’s Club Name: Table Tennis
Established Date: January 4, 2023
Sports Club Facilitator/s: Denzel B. Caldino
Sports Club Member/s:
Members’ Name Grade Level
1. Nathalie R. Del Castillo 3
2. Christian Nocellado 3
3. Keith Belly Borbe 3
4. Jhaymela Discaya 4
5. Althea Bas 5
6. Janella Boragay 5

Sport’s Club Name: Arnis

Established Date: January 4, 2023
Sports Club Facilitator/s: Dominick M. Cidro
Sports Club Member/s:
Members’ Name Grade Level
1. Samy Barrameda 6
2. Justine Bersamin 5
3. Althea Cassandra Bustamante 4
4. Mabel Sabado 4

Sport’s Club Name: Athletics

Established Date: January 4, 2023
Sports Club Facilitator/s: Elsie A. Briz
Sports Club Member/s:
Members’ Name Grade Level
1. Trisha Marie Belchez 5
2. Mary Joy Bongat 3
3. Earl Vincent Bonita 3
4. Jairuss Andrey Barbante 2
5. Mark Jay Bombita 2
6. Jorince Bendal 4
7. Angel Kim Bien 4
8. Yuhan Balingbing 4
9. Meryrose Buarao 4

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

Telephone No.: (02) 632-9935; (02) 638-8525
Sport’s Club Name: Swimming
Established Date: January 4, 2023
Sports Club Facilitator/s: Lorelie B. Balingbing
Sports Club Member/s:
Members’ Name Grade Level
1. Jesus Aguirre 3
2. Dante Boque 4
3. Jermil Bonto 5
4. Steve Bombita 5
5. Daniel Bombita 5
6. Maryjoy Bongat 3
7. Melve Boque 3
8. Althea Mae Bisco 5

Sport’s Club Name: Taekwondo

Established Date: January 4, 2023
Sports Club Facilitator/s: Gretchine Bonafos
Sports Club Member/s:
Members’ Name Grade Level
1. Sophia Joy Adornado 2
2. Mae Ann B. Bernardez 2
3. John Mark Bindo 2
4. John Carlo Bas 3
5. Arlieza Mae Bio 3
6. Ely Boter 3
7. CJ Boneo 4
8. Jayson Brutas 4
9. Althea Bas 5
10. Justin Del Castillo 5
11.Johnoel Begino 5
12. Khean Rick Borbe 5
13. Jansen Barbante 5

Sport’s Club Name: Badminton

Established Date: January 4, 2023
Sports Club Facilitator/s: Faye Bañares
Sports Club Member/s:
Members’ Name Grade Level
1. Shella Marie Bañez 4
2. Mabel Sabado 4
3. Althea Butamante 4
4. Ariana Mae Base 5

Sport’s Club Name: Chess

Established Date: January 4, 2023
Sports Club Facilitator/s: Glenda Burac
Sports Club Member/s:
Members’ Name Grade Level
1. Kent Rainier B. Barbante 2
2. Johua B. Bendal 2
3. Aliza Mae Buates 3
4. Michaela Joyce B. Bico 3
5. Zheianne Ashley B. Bermas 4
6. Leanne Balingbing 4
7.
8.
9.
10.

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

Telephone No.: (02) 632-9935; (02) 638-8525
 Sport’s Club Name: Sepak Takraw
Established Date: January 4, 2023
Sports Club Facilitator/s: Ace Bustamante
Sports Club Member/s:
Members’ Name Grade Level
1. Lexter Vasquez 5
2. Aldin Siaron 5
3. Brent Limpopo 5
4. Mark Laurence Basco 5
5. Denmarc Bombita 4
6. Gabriel Siaron 4
II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thurs Fri Sat
Table Tennis, Arnis, Athletics,
3:00-5:00 pm x / x x x x
Swimming
Chess, Badminton, Taekwondo,
3:00 - 5:00 pm x x x / x x
Sepak Takraw

Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thurs Fri Sat

III. LIST OF AVAILABLE SPORTS EQUIPMENT AND SPORTS FACILITIES

Tick the box if standard sports equipment and facilities are available and ready to use. Put remarks and add rows if necessary.

Learning Facilities Remarks

Track and field oval n.a
Gymnasium / covered court n.a
Basketball court n.a
Volleyball court n.a
Swimming pool n.a
Football/ softball/ baseball field n.a
Spacious playing area Grass area - Playing field
Others: ___________________
___________________
___________________

Sports Equipment Remarks

Table Tennis Playing Table In good condition
(no rackets, net and balls)
Arnis Sticks In good condition
Athletics Throws Equipment In good condition
Swimming Goggles In good condition

In general : The School Needs

new and complete sets of
sports equipment.

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

Telephone No.: (02) 632-9935; (02) 638-8525
IV. SPORTS ACTIVITIES, PROGRAMS AND/OR PROJECTS
Give at least (3) three recent activities, programs, projects or any other initiatives implemented related to sports.
Add rows if necessary.

Activities/Programs/Projects Date of Implementation

1.

2.

3.

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 Denzel B. Caldino
Signature
Date January 09, 2023

Certified by:
Principal/Officer-in-Charge Efren B. Bino
Signature
Date January 09, 2023

Verified by:
Division Sports Officer
Signature
Date

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

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