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: DANCESPORTS
Established Date: AUGUST 29,2024
Sports Club Facilitator/s: DENMARK RANOLA
Sports Club Member/s:
Members’ Name Grade Level
MIAARE MELLINEL PALLAN 11
IFRAIME LONSAME 11
ANGEL PASI0N 8
SONNY NUYDA 8
JANURY JACOB ARRIOLA 9
NICOLE SALUDAGA 11
Sport’s Club Name: ATHLETICS
Established Date: AUGUST 29,2024
Sports Club Facilitator/s: MARK JOHN MUNDA
Sports Club Member/s:
Members’ Name Grade Level
1. REYMART AVILA 10
2. JONEL NUYDA 10
3. ANGELINE PANTERIORE 8
4. ANGELA OPENIANO 11
5. ZOREN NEVEREZ 12
6. KIM ANGEL ODENA 11
7. HELEN OLITIN 10
8. JANEAH ABAINZA 9
9.
10.
Sport’s Club Name:
Established Date:
Sports Club Facilitator/s:
Sports Club Member/s:
Members’ Name Grade Level
1.
2.
3.
4.
5.
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
6.
7.
8.
9.
10.
II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thur Fri Sat
s
Example
3:00PM-4:00PM DANCE Sports Club /
4:00PM-5:00PM ATHLETICS Sports Club /
Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thur Fri Sat
s
3:00PM-4:00PM DANCE Sports Club /
4:00PM-5:00PM 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
JAVELIN NOT STANDARD
DISCUS NOT STANDARD
SHOTPUT NOT STANDARD
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. Creation of sports club members 8/29/2024
2. afternoon trainings Started august
3. school intramurals To be implemented
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
MARK JOHN P. MUNDA
Coordinator
Signature
Date
Certified by:
Principal/Officer-in-
JOSEPHINE B. NAPARAM
Charge
Signature
Date
Verified by:
Division Sports Officer DANILO R. MURILLO
Signature
Date
3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone No.: (02) 632-9935; (02) 638-8525
