OFFICIAL ENTRY FORM

DIVISION FESTIVAL OF TALENTS

MAANANTENG ELEMENTARY SCHOOL

SCHOOL

INVITATION CARD MAKING

EVENT

NAME OF CONTESTANT: RUVINICE G. PRUDENCIANO

HOME ADDRESS: BRGY. MANALPAC, SOLSONA, ILOCOS NORTE
GRADE LEVEL: 6 CONTACT NUMBER: 0966-9947388 / 0916-1596170
DATE / PLACE OF BIRTH: OCTOBER 19, 2007
NAME OF COACH/TRAINER: MR. ALDRIN Y. PAGUIRIGAN

I hereby certify that the above data are true and correct to the best of my knowledge and belief and I
understand that any false entry will render this Official Entry Form null and void and will be ground for my
disqualification to participate in the Division Festival of Talents.

___________________________________________
SIGNATURE OVER PRINTED NAME OF CONTESTANT

SCHOOL HEAD CERTIFICATION

I hereby certify that RUVINICE G. PRUDENCIANO is a bonafide student and currently enrolled at
Maananteng Elementary School with LRN 100280130054 for SY 2019-2020 and is eligible to participate in the
Division Festival of Talents.

MARIA CRISTINA A. DEL CASTILLO

SIGNATURE OVER PRINTED NAME OF SCHOOL HEAD

PARENTS/GUARDIAN’S WAIVER / PERMIT

I/We, the undersigned parent/guardian of RUVINICE G. PRUDENCIANO voluntarily give my/our full support
and consent to my/our daughter/ward to actively participate in the Division Festival of Talents to be held on
November 14, 2019 at Sarrat, Ilocos Norte.
I/We have considered the benefits that my/our daughter/ward will derive from her participation in this
activity provided that due care and diligence and precaution will be observed to ensure the comfort and safety of
my/our daughter/ward and that DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond human control.

________________________________________________
SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN

-------------------------------------------------------PLEASE DETACH--------------------------------------------------------------

Received the DFOT Official Entry Form RUVINICE G. PRUDENCIANO on November _____, 2019.

__________________________________________________
SIGNATURE OVER PRINTED NAME OF AUTHORIZED OFFICIAL
 OFFICIAL LIST OF PARTICIPANT/S
DIVISION FESTIVAL OF TALENTS

School: MAANANTENG ELEMENTARY SCHOOL

Name of Contestant Event Coach / Trainor

RUVINICE G. PRUDENCIANO INVITATION CARD MAKING Mr. ALDRIN Y. PAGUIRIGAN

Certified Correct:

MARIA CRISTINA A. DEL CASTILLO

SCHOOL HEAD