AR-1 (Athlete Record Form)
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![Page 1: AR-1 (Athlete Record Form)](https://reader031.fdocuments.us/reader031/viewer/2022020800/55cf9291550346f57b978627/html5/thumbnails/1.jpg)
____________________________________Region
Olongapo CityDivision
III
A. PERSONAL DATA
Name :_________________________________________________________Sex:_______________________
Date of Birth (mm/dd/yy):________________________________Age____________ Place of Birth________________________________
School:____________________________________ Learner Reference Number(LRN)_____________________
Address of School: ______________________________________________________________________________________
Home Address:______________________________________________________________________________________
Parents:__________________________________ ________________________________________ Father’s Name Mother’s Name
Address of Parents:_____________________________________________________________________________
B. Athlete’s Participation
______________________________ Athlete’s Signature
This is to certify that we have personally verified the personal Records of the above-mentioned athlete and found the same to be true and correct
B. Athlete’s Participation
Athletic Meet Coaches Division PESS Supervisors
AR-1 (ATHLETE RECORD)