Revised as of September 26, 2019
Republic of the Philippines
                                                            DEPARTMENT OF EDUCATION
                                                                                  III
                                                                                (Region)
                                                                          Tarlac Province
                                                                               (Division)
                                                                          Cafe Elementary
                                                                                  (School)
                                                                   Brgy.Cafe, Concepcion
                                                                            (School Address)
                                                                                                     _______________________
                                                                                                             Date
                                             CERTIFICATE OF COMMITMENT
                               I, ________ANGELA D. GARCIA______, of legal age, single/married/widow,
                                             (Name of Chaperon)
                   Filipino citizen, and presently working as ____________TEACHER III_________ at
                                                                                                   (Position)
                   ______CAFE ELEMENTARY SCHOOL_______, hereby commit myself to nurture
                                       (Work Address)
                   the athletes of ___________________________, provided that due care and
                                                        (Name of Event)
                   precaution will be observed to ensure the comfort and safety of the athletes
                   until the last day in the Lower Meet up to the Palarong Pambansa.
                               That I will not interfere in the Coaching of our Team or Act as Coach of
                   the Athlete as it is not my responsibility to do so.
                                                                      ____         _ANGELA D. GARCIA______
                                                                             Signature over Printed Name of Chaperon
                   Verified:
                     FATIMA S. TULIO
                           School Head
                   (Signature Over Printed Name)
                   FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)