School Sports Club FORM2 1

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BUREAU OF LEARNER SUPPPORT 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: THOMASIAN FALCON ATHLETICS CLUB


Established Date: October 17, 2023
Sports Club Facilitator/s : MARLON O. CASTILLO
Sports Club Members:
Members’ Name Grade Level
1. JARRED MATTHEW C. CASITAS Grade 6
2. JUSTINE BELTRAN Grade 6
3. IGNACIO MAMUAD Grade 4
4. JORDAN T. YABUT Grade 4
5. JOHN MATTHEW B. COSTELO Grade 4
6. DAN JOSEPH Y. MORALES Grade 5
7. AJ R. BALAJADIA Grade 5
8. JOHN MATTHEW F. ALCANTARA Grade 4
9. JOSEPH T. BAYUDAN Grade 6
10. XHANEL KEANDRA G. GAMBOA Grade 5
11. YANI GOLD B. ZAMORA Grade 5
12. SARAH REIGN B. REMOLONA Grade 6
13. MARJORIE A. ANASTACIO Grade 5
14. MA. CRISTINA G. SANTIAGO Grade 4
15. DANNA JORGEENA CUNANAN Grade 5
16. ARA PASCUA Grade 5
17. MARIELLE D. AMBROCIO Grade 5
18. MAURINE AQUINO Grade 6
19. PRINCESS LUISA A. FAJARDO Grade 5
20. REYNALYN MALLARI Grade 5
21. MARVELYN BLAIRE RAMOS Grade 4

II. PROGRAMMING

Time Sports Club Mon Tues Wed Thurs Fri

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


Telephone No.: (02) 632-9935; (02) 638-8525
4:00 – 5:00 Athletics Sports Club / /

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
Gymnasium / Covered Court
Basketball Court
Volleyball Court
Swimming Pool
Football / Softball / Baseball Field
Spacious Playing Area
Others:
___________________
___________________
_________________

Sports Equipment Remarks

IV. SPORTS ACTIVITIES, PROGRAMS AND/OR PROJECTS


Give at least (3) three recent activities, programs, projects or any other initiatives related to sports.

Activities / Programs/ Projects Date of Implementation


1.ATHLETICS SPORTS CLINIC AUGUST 7-11, 2023
2.
3.

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


Telephone No.: (02) 632-9935; (02) 638-8525
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 MARLON O. CASTILLO
Signature
Date OCTOBER 17, 2023

Certified by:
Principal / Officer-In-Charge ROMINA B. LINGAS-TAGUDIN
Signature
Date OCTOBER 17, 2023

Certified by:
District Sports Officer ROGEL R. ROBLES
Signature
Date OCTOBER 16, 2023

Verified by:
Division Sports Officer JOEL V. CRUZ
Signature
Date OCTOBER 16, 2023

Approved:
Schools Division Superintendent Engr. EDGARD C. DOMINGO, PhD, CESO V
Signature
Date OCTOBER 16, 2023

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


Telephone No.: (02) 632-9935; (02) 638-8525
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525

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