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PARTICIPANTS' COPY DENR-Special Concerns Office-Youth Desk

Kabataang Sama-Samang Maglilingkod (KASAMA), Inc. DepED-Center for Students and Co-Curricular Affairs

May 1-5, 2011 Teachers Camp, Baguio City

PRE-REGISTRATION FORM PRE-REGISTERED

Region : _____________________ Division : _____________________ (Please write legibly and complete all data required.)

Name of Participants

No.

Organization/Affiliation (Indicate if supervisor, School / Complete teacher-adviser, Address officer, member, etc.)

Contest (Optional)

WALK-IN

Camp Course Contact Number (Required)

(preferably mobile number)

E-mail Address

Billeting

1

2

3

4

5

6

7

8

9

10

11

12

13

14 15 Date : _______________ Signature Supervisor / Principal /Teacher - Adviser

VERIFICATION

CASHIER

BILLETING

RELEASING ITEMS

QUANTITY

ID W/ MEAL TICKETS T-SHIRTS BAGS SOUVENIR MAGAZINES CERTIFICATES OTHERS

NOTE:

Participants are requested to confirm their participation on or before April 15 15, 2011 by sending this Pre-Registration Form (PRF) (PRF), thru mail or fax thru telefax numbers (02) 631-8495, (02) 636-3603. Kindly make (5) copies of a duly filled-up Pre-Registration Form and present to the Registration Committee during the registration.


DepEd Memorandum No. 33, s. 2011 YES Camp 2011