SCUAA Form 1

RSU OLYMPICS 2019 CHECKLIST OF ELIGIBILITY REQUIREMENTS OF

October 7-11, 2019 – RSU, Odiongan, Romblon Type Here

Date of Screening: (please refer to the SCUAA National

Games Manual)
INSTITUTION: Type Here Category Type Here

Date of PSA Birth 2X2 Picture

NAME OF ATHLETE Age Birth FORM 2 FORM 3 TOR Certificate
(no need to Remarks
submit)
1. Type here
2. Type here
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Type Here Type Here Type Here

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Name & Signature of Coach Name & Signature of Assistant Coach Name & Signature of Sports Director