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: POES ARNIS BOYS
Established Date: February 17, 2023
Sports Club Facilitator/s: ALLYN M. SANZ
Sports Club Member/s:
Members’ Name Grade Level
Sport’s Club Name: POES DANCE SPORTS
Established Date: February 17, 2023
Sports Club Facilitator/s: MELANIE S. ADAP
Sports Club Member/s:
Members’ Name Grade Level
Sport’s Club Name: POES SEPAK TAKRAW
Established Date: February 17, 2023
Sports Club Facilitator/s: Marc
Sports Club Member/s:
Members’ Name Grade Level
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
Sport’s Club Name: POES BASKETBALL BOY’S
Established Date: February 17, 2023
Sports Club Facilitator/s: Marcelina E. Dela Torre
Sports Club Member/s: Allyn M. Sanz
Michelle F. Leviste
Members’ Name Grade Level
Kiev Jovick F. Olarte Grade 4
Remie James P. Dela Cruz Grade 4
Joenel M. Montenegro Grade 4
Benjamin E. Montenegro Grade 4
Atanacio, Jhon Anthony G. Grade 5
Delos Santos, Assh Dylan S. Grade 5
Fabellar, Jhazel M. Grade 5
Falsario, Emerson Grade 5
Gadon, Mark Luigi G. Grade 5
Olarte, Lance Cydric R. Grade 5
Rioja, Xian Iñego M. Grade 5
Emmanuel L. Ramilo Grade 6
Sam Niño G. Falsario Grade 6
Christian P. Candelaria Grade 6
Denzel G. Coching Grade 6
Gerold Ezekiel O. David Grade 6
Prits Joel M. Forca Grade 6
Francis Rissel P. Anthony Grade 6
Vince Angelo M. Cantorna Grade 6
Elrey R. Falsario Grade 6
Sport’s Club Name: POES Volleyball Girl’s
Established Date: February 17, 2023
Sports Club Facilitator/s: Levi O. Mangubat
Sports Club Member/s: Esther Rialyn M. Orongan
Members’ Name Grade Level
Solajo, Jelian G. Grade 4
Fillarca, Ericka Jhen M. Grade 4
Tamboong, Ariella R. Grade 4
Aquino, Crisha Lhalaine A. Grade 4
Gervacio, Alliah T. Grade 4
Fere-era, Keisha Lorraine M. Grade 4
Turno, Jasmine G. Grade 5
Montoya, Arriane F. Grade 5
Merez, Meagan V. Grade 5
Cadangan, Ayeisha Faith Grade 5
Malubay, Keisha Samantha Grade 5
Saligumba, Miel Angelie C. Grade 5
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
Alabe, Princess Kaye Angela M. Grade 5
Coching, Jeil G. Grade 5
Dionisio, Althea Grade 5
Garcia, Loureene F. Grade 5
Malabriga, Shaira Nicole P. Grade 5
Atilano, Elonah Jane G. Grade 5
Merez, Arriane P,. Grade 5
Raizel R. Dimatulac Grade 6
Diana D. Fernandez Grade 6
Princess Jecel G. Garcia Grade 6
Jecel May E. Montoya Grade 6
Renalyn M. Hillario Grade 6
Sport’s Club Name: POES Badminton Girl’s
Established Date: September 01, 2023
Sports Club Facilitator/s: Jessa Angela M. Galisanao
Sports Club Member/s:
Members’ Name Grade Level
Selestine Blithe C. Salas Grade 4
Beah Shelemiah C. Salas Grade 5
Luisa Bianca M. Visca Grade 5
Juliana C. De Guzman Grade 5
Czarina M. Molina Grade 5
Manato, Kleian Rose G. Grade 5
Manato, Guy Gweneth G. Grade 5
Sport’s Club Name: POES Badminton Boy’s
Established Date: September 01, 2023
Sports Club Facilitator/s: Ester Rialyn E. Orongan
Sports Club Member/s:
Members’ Name Grade Level
Greg Aldrich A. Garcia Grade 6
Sport’s Club Name: POES Gymnastics
Established Date: September 01, 2023
Sports Club Facilitator/s: Sunshine M. Galisanao
Sports Club Member/s: Melanie S. Adap
Members’ Name Grade Level
Apple Gail Adeline M. Adap Grade 3
Keisha Lorraine M. Fere-era Grade 4
Erica Jhen M. Fillarca Grade 4
II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thurs Fri Sun.
3:30 – 5:00 PM Gymnastics
1:30 – 5:00 PM Basketball boys
1:30 – 5:00 PM Volleyball boys and girls
1:30 – 5:00 PM Badminton boys and girls
Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thurs Fri Sun,
3:30 – 5:00 PM Gymnastics
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
1:30 – 5:00 PM Basketball boys
1:30 – 5:00 PM Volleyball boys and girls
1:30 – 5:00 PM Badminton boys and girls
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 Functional
Basketball court Functional
Volleyball court Functional
Swimming pool N/A
Football/ softball/ baseball field N/A
Spacious playing area Functional
Others: ___________________
___________________
___________________
Sports Equipment Remarks
Basketball Functional
Volleyball (net, whistle, and ball) Functional
Badminton (net and rackets) Functional
Gymanastics (hoop, ribbon, ball & club) Functional
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
Training Program for basketball boys every Sunday with Play it September 08, 2023
Forward Team sponsored by Clarendon College.
Training program for volleyball boys and girls every Sunday with September 08, 2023
Play it Forward Team sponsored by Clarendon College
Training program for gymnastics everyday after school hours. September 08, 2023
Training program for badminton boys and girls every Sunday with September 08, 2023
Play it Forward Team sponsored by Clarendon College
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 MARCELINA E. DELA TORRE
Signature
Date October 25, 2023
Certified by:
Principal/Officer-in-Charge MICHELLE F. LEVISTE
Signature
Date October 25, 2023
Verified by:
Division Sports Officer EDDY A. DALISAY, PhD
Signature
Date
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
