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: ARNIS CLUB (BOYS)
Established Date: JANUARY 2023
Sports Club Facilitator/s: REY T. ENSEPEDO, ANNA MARIE V. PELINIO/ JULIE TEN R. ORTEGA
Sports Club Member/s:
Members’ Name Grade Level
1.DARWIN JR T. GALVEZ GRADE VI
2.DOLIBOY R. RELOS GRADE VI
3.EDMAR V. SABOLBORA GRADE VI
4.KIM D. YULO GRADE VI
Sport’s Club Name: ARNIS CLUB (GIRLS)
Established Date: JANUARY 2023
Sports Club Facilitator/s: REY T. ENSEPEDO, ANNA MARIE V. PELINIO/ JULIE TEN R. ORTEGA
Sports Club Member/s:
Members’ Name Grade Level
1.SOFIA LAUREEN M. VELEZ GRADE VI
2.RHIANN T. PASAYLO GRADE VI
3.ERJEN M. GONZAGA GRADE VI
4. BEA V. GUZMAN GRADE VI
Sport’s Club Name: BADMINTON BOYS
Established Date: JANUARY 2023
Sports Club Facilitator/s: RICA GRACE V. CABAHUG/ANALYN CABAHUG/JUVILYN M. CALIGID
Sports Club Member/s:
Members’ Name Grade Level
1.JOHN PAUL G. NIETES GRADE VI
2.JOEY Q. TANGUAN GRADE VI
3.JUN RYUU G. VILLAFLOR GRADE VI
4.LANCE DAVID MOTOL GRADE IV
5. FRANKLEN M. TEMBLOR GRADE IV
Sport’s Club Name: BADMINTON BOYS
Established Date: JANUARY 2023
Sports Club Facilitator/s: RICA GRACE V. CABAHUG/ANALYN CABAHUG/JUVILYN M. CALIGID
Sports Club Member/s:
Members’ Name Grade Level
1.PRINCESS T. MORACA GRADE VI
2.ANGEL G. ELGANA GRADE VI
3.ALEXA MARIE S. TEORIMA GRADE VI
4.AILLA L. QUILONGQUILONG GRADE VI
5. AGNES T. CONIENDO GRADE VI
II. PROGRAMMING
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thurs Fri Sat
Example
3:00PM-4:00PM Arnis Sports Club / / / /
4:00PM-5:00PM 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
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
Badminton net only Lacking of other badminton
equipments
Arnis baston only no mattings and other arnis
equipments
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.SPORTS CLINIC DEC-JAN. 2023
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 REY T. ENSEPEDO
Signature
Date 1/16/2023
Certified by:
Principal/Officer-in-Charge NERISSA J. ARELLANO
Signature
Date 1/16/2023
Verified by:
Division Sports Officer JOSETTE P. BALANDRA
Signature
Date
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
