Sport Club Forms

Republic of the Philippines
Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC l: SCHOOL SPORTS CLUB REGISTRATION FORM
INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable. DO NOT ABBREVIATE.
A. Basic Information
Region XI Division DAVAO DE ORO
Name of School MANAT NATIONAL HIGH SCHOOL School ID 304195
Address PUROK 1, MANAT, NABUNTURAN, DAVAO DE ORO
Email address (if any) [email protected] Telephone No.
URL (if any)

B. School Profile
MANAT NATIONAL HIGH SCHOOL with Lot No. 5000-B, Csd-11-006664-D, (port.of Lot 5000, PLS-2) and
Lot No. 118, Rs-11-000363-D which has an area of 15, 883 + 7, 289 was acquired on July 28, 1966. (Original Certificate of
Title No. 2019000321 and 2020000297)
Manat National High School is a former Manat Community High School then Manat Barangay High School which
subsequently developed into a full-grown institution. This started in 1985 when the site and the building occupied were
formally given to the high school, nationalized in 1988 and had been proclaimed last August 7, 1990 with Presidential
Proclamation No. 623 by Corazon C. Aquino, former President of the Philippines.
The location of Manat National High School is adjacent to the District Office of Nabunturan East. It is fifty (50)
meters away from San Vicente Quasi Parish, and five (5) kilometers away from the Capitol of Compostela Valley. It is
along the National Highway from Poblacion, Nabunturan to the Municipality of Maragusan.
It was Mr. Bernardino Pajaron the elementary school principal then who is a retired DECS Regional Chief of the
Non-formal Education and people of Manat with its adjacent communities who withstood shortcomings and constraints to
make this school a reality. They occupied one room from the elementary and started evening classes with the aid of
petromax as a source of light since at that time there was no electricity in this place. A year after, the PTA and Barangay
officials put up two-storey building and began daytime classes. Years had passed and enrollment had kept on increasing,
Manat Elementary School was given additional building in order that the secondary student could occupy it.
At first there were just a small number of students, because there was tuition fees which served as an obligation.
When the school was nationalized the influx of students was so great that the former 40 students per class became 75 to 80.
The first batch of graduates was composed of 29, both male and female students in 1970. Thereafter, series of graduates
were produced by the said school up to the present.
Manat National High was administered by an Elementary Principal of Manat Central and its first teachers were Mr.
Avelino Silverio and Feliciana Item. In 1988, it was properly turned over to the high school and spearheaded by school in-
charge, Mrs. Rosita A. Paican, who is a Retired TLE Education Program Supervisor in the Division of Compostela Valley.
As time moves on, Manat National High School is proud to have molded competitive professionals and responsible
citizens in the community.
The school has earned prestigious recognition in the national, regional and division level in the field of campus
journalism, communication arts, performing arts, Science-Math Fair, Student-Technologists and Entrepreneurs in the
Philippines (STEP), Information and Communication Technology (ICT), athletics, Gulayan sa Paaralan, Boy and Girl
Scouts of the Philippines and Brigada Eskwela.
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
2. CHESS
3. DANCESPORTS
4
s.
6.
C.2 Preferred Sports

Add rows if necessary:
1. VOLLEYBALL BOYS AND GIRLS
2. BASKETBALL BOYS AND GIRLS
3. SOCCER
4. BADMINTON
5.
6.
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 RICHARD I. FERNANDEZ
Signature
Date 03/20/2023
Certified by:
Principal/Officer in-Charge EDITHA T. JAO, EdD
Signature
Date 03/20/2023
Verified by:
Division Sports Officer DEXTER A. CEQUIÑA, EdD
Signature
Date
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
Sport’s Club Name: VOLLEYBALL

Established Date: SEPTEMBER 9, 2022
Sports Club Facilitator/s: RINA LOU L. DUMUK
Sports Club Member/s:
Members' Name Grade Level
1. JIELOU C. AGPALASIN 8
2. ANNA MARIZ T. CAPUYAN 10
3. JENEIL A. ENJAYNES 11
4. RHEA P. GARRIDO 9
5. IRISH MAE P. GULAYAN 10
6. ALTHEA V. HITUTUA 11
7. MARY ANNE JOY D. LLENA 10
8 HANNAH MARIE S. LORONO 9
9 DIANA ROSE PRINCESS L. MUGA 9
10 FLORENCE MAY C. OFAMIN 10
11. CHINA MIEL CARMELLA SUBANG 10
12. PRINCESS DIANA FAITH S. YANA 10
Create a copy of this page if four or more sports clubs are beingoffered. Add rows and columns if necessary.
Sport's Club Name: ARNIS

Established Date:SEPTEMBER 9, 2022
Sports Club Facilitator/s:CLEO FAYE S. SILVERIO
Sports Club Member/ s:
1.LOECEL S. COMAWAS 11
2.JESSA MAE ONDUS 9
3.CLAIRE MARIE P. DATOON 11
4.GERALDIN P. LIBOSADA 11
5.APPLE GRACE B. CABONILLA 10
6.SAPPHIRE M. LEJISTA 8
7.
8.
9.
10.
Sport's Club Name:BASKETBALL GIRLS (3X3)
Sports Club Facilitator/s: KIMBERLY JADE E. CUYOS
1.APRIL M. MARAMBA 12
2.PRINCESS IDA F. CABAYAG 12
3.CYRA JANE M. FELIAS 9
4.CHIARA JESSA T. EDULAN 7
Sport’s Club Name: Dancesports
Sports Club Facilitator:
1. DIONNE A. HISUAN 8
2. JESSIE A. MARAVILLES SR. 9
Sport's Club Name: BADMINTON

Sports Club Facilitator/s:LEO SANTO O. ESCARPE
1.JENNO VILLAHERMOSA 11
2.JENESON B. TAGUD 12
3.MA. CRISTY JOYCE B. DIMCO 7
4.MARK BARNACHEA 10
5.KISH CLAVEN BENTOY 10
6,STYX BANADOS 8
8.BRENT GONATO 9
9.ALTHEA PEROMINGGAN 10
10.NOVRENA PALOMA 8
11. MECO LOPLOP 7
12. JANDY BONILLA 8
II. PROGRAMMING
Put the e preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thurs Fri Sat
Example
4:00PM-5:30PM Volleyball Sports Club / / / / /
4:00PM-5:00PM Basketball Sports Club / / / / /
4:00PM-5:30PM Badminton Sports Club / / / / /
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
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 Functional
/ Gymnasium / covered court Functional/shared space for volleyball, basketball,
badminton court
/ Basketball court Functional
/ Volleyball court Functional
 Swimming pool None
/ Football /softball /baseball field Functional
/ Spacious playing area Functional
 Others: social hall
Sports Equipment Remarks

 Volleyball equipment Serviceable/provided by school and other stakeholders
 Basketball equipment Serviceable/provided by school
 Badminton equipment Personal owned by athlete
 Arnis equipment Serviceable/Provided by school
 Soccer equipment Serviceable/ provided by school
 Sepak Takraw equipment Serviceable
 Chess equipment Serviceable
 Futsal equipment Serviceable
 Track and field equipment Serviceable




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.conduct intramural meet January 21, 2023
2.conduct district meet January 28, 2023
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 RICHARD I. FERNANDEZ
Signature
Date 03/20/2023
Certified by:
Principal/Officer-in-Charge EDITHA T. JAO, EdD
Signature
Date 03/20/2023
Verified by:
Division Sports Officer DEXTER A. CEQUIÑA, EdD
Signature
Date

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Republic of the Philippines

FORM SSC l: SCHOOL SPORTS CLUB REGISTRATION FORM

Name of School MANAT NATIONAL HIGH SCHOOL School ID 304195

Address PUROK 1, MANAT, NABUNTURAN, DAVAO DE ORO

Email address (if any) [email protected] Telephone No.

URL (if any)

C.1 Mandatory Sports

C.2 Preferred Sports

FORM SSC.2: School Sports Club Attachment Form

I. SPORTS CLUB INFORMATION

Sport’s Club Name: VOLLEYBALL

Sport's Club Name: ARNIS

Sport's Club Name: BADMINTON

Sports Equipment Remarks

IV. SPORTS ACTIVITIES, PROGRAMS AND/OR PROJECTS

Activities / Programs / Projects Date of Implementation

2.conduct district meet January 28, 2023

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