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.