TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

Region

A. PERSONAL DATA:

Name: Sex:(Last) (First) (M.I.)

Age: Place of Birth:School:

Address of School:

Home Address:

Parents:Fathers Name Mother/Guardian

Address of Parents:

Documents Required

Form 137

Birth Certificate (NSO) (Coach)

Medical Certificate

Dental Certificate

Atheletes Record

Parental Consent

B. Athlete's ParticipationInclusive Dates Sports Event Athletic Meet Remarks

Athlete's Signature

This is to certify that we have personally verified the Personal Records of the

above-mentioned athlete and found the same to be true and correct.

Athletic Meet Coach/es Division PESS Supervisor/s

Date of Birth: (mm/dd/yy)

Certificate of Enrolment and Completion

Latest 2 x 2 picture

Note: Print name before signature. PESS Supervisor/Coordinator

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

Region

A. PERSONAL DATA:

Name: Sex:(Last) (First) (M.I.)

Age: Place of Birth:School:

Address of School:

Home Address:

Parents:Fathers Name Mother/Guardian

Address of Parents:

Documents Required

Form 137

Birth Certificate (NSO) (Coach)

Medical Certificate

Dental Certificate

Atheletes Record

Parental Consent

B. Athlete's ParticipationInclusive Dates Sports Event Athletic Meet Remarks

Athlete's Signature

This is to certify that we have personally verified the Personal Records of the

above-mentioned athlete and found the same to be true and correct.

Athletic Meet Coach/es Division PESS Supervisor/s

Note: Print name before signature. PESS Supervisor/Coordinator

Date of Birth: (mm/dd/yy)

Certificate of Enrolment and Completion

Latest 2 x 2 picture