SlideShare a Scribd company logo
JOINING COMPETITIONS? (Check all that apply) 
Entertainment Night School Quiz Contest Poster Making Contest 
CSIW Research Congress Essay Writing Contest Pasalubong Festival 
SPECIAL MEDICATION/S NEEDED: 
FOOD RESTRICTIONS: 
Pork Fish 
Beef Mollusk (ex: squid) Chicken Crustaceans (ex: crab) Goat Dinuguan/Sisig Others: 
Pambansang Kapisanan ng mga Kabataan Samahan ng Agham (Philippine Society of Youth Science Clubs), Inc. 
2013 National Children’s Science Interactive Workshop 
TERRAGENERA: Navigating, Unearthing and Reviving the Wonders of Mizra 
October 21-24, 2013 | Royale Tagaytay Country Club, Alfonso, Cavite 
PERSONAL INFORMATION 
Name: 
LAST NAME FIRST NAME M.I. 
Nickname: Birthday: Gender: Female Male Contact No: 
MONTH DAY YEAR 
Teacher Student Grade Level: Email: 
Home Address: 
STAPLE 2 pcs. 1x1 
pictures here (write FULL NAME at the back of each photo) 
SCHOOL INFORMATION 
School Name: School Address: School Contact Number/s: 
MEDICAL CERTIFICATE 
I hereby certify that I have examined 
and found him/her physically fit to join the 2013 National Children’s Science Interactive Workshop. 
Signature over Printed Name of Physician 
PARENTAL CONSENT 
I hereby allow my son/daughter to participate in the 2013 National Children’s Science Interactive Workshop. I will not hold the organizers responsible to any accident that may happen beyond their control. 
NCSIW 2013 Shirt Size 
(Please refer to the attached Comparative Shirt Size Chart. Also, please note that shirt sizes will only be guaranteed if you submit your Registration forms on or before October 4, 2013.) 
Small Medium Large Extra Large Extra Extra Large 
IN CASE OF EMERGENCY, please contact: 
Name: 
_ Signature over Printed Name of Parent 
ADVISER’S AGREEMENT 
I hereby agree to the rules and regulations set by the organizers and that I will be held responsible for any loss or damage of the venue’s facilities. 
Signature over Printed Name of Adviser 
Relationship: Contact Number/s: 
Address: 
PLEASE SEND YOUR APPLICATION REQUIREMENTS TO: 
NCSIW Secretariat 
Philippine Society of Youth Science Clubs 
Unit 703 West Mansions Condominium, Zamboanga St. 
Brgy. Nayong Kanluran, Quezon City 1104 
PRINCIPAL’S ENDORSEMENT 
I certify that is a bona fide student of and is one of the school’s official delegates to the 2013 National Children’s Science Interactive Workshop. 
Signature over Printed Name of Principal 
Telephone: (02)393-4384 | Telefax: (02)332-8151 
Only the first 1000 participants will be accommodated! 
Deadline for payment of reservation fee and submission of registration form is on OCTOBER 4, 2013. 
TO THE SCIENCE CLUB ADVISER: Please send a COMPLETE list of participants (full names) and their birth dates in Excel File format (downloadable at http://psysc.org/?page_id=262) and send to csiw@psysc.org with the email subject “CSIW 2013 Participants Insurance_<Name of School>”.

More Related Content

Similar to four skills integration

Family Resources Power Point.pptx
Family Resources Power Point.pptxFamily Resources Power Point.pptx
Family Resources Power Point.pptx
AmberSmith646540
 
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity CentreAfter-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
RobinAge: Weekly Children's Newspaper
 
K 12- The Grade III Learner
K 12- The Grade III LearnerK 12- The Grade III Learner
K 12- The Grade III Learner
Ramil Gonzales
 
Diversity
DiversityDiversity
Diversity
ejm47
 
Resume.CL.2015
Resume.CL.2015Resume.CL.2015
Resume.CL.2015
krista howell
 
ResumeJanus
ResumeJanusResumeJanus
ResumeJanus
Shane Morey
 
DecemberxforPDFxxx (2)
DecemberxforPDFxxx (2)DecemberxforPDFxxx (2)
DecemberxforPDFxxx (2)
DEVANAND JAYAPAUL
 
Kasiglahan village nhs citizen's charter cc2021
Kasiglahan village nhs citizen's charter cc2021Kasiglahan village nhs citizen's charter cc2021
Kasiglahan village nhs citizen's charter cc2021
MICHAELANORA2
 
October 15 newsletter
October 15  newsletterOctober 15  newsletter
October 15 newsletter
Ken Stayner
 
GSA Newsletter July 2010
GSA Newsletter July 2010GSA Newsletter July 2010
GSA Newsletter July 2010
Cengiz Karatas
 
Engagement of Students
Engagement of StudentsEngagement of Students
Engagement of Students
tonybattista
 
Updated cv of shivalingaiah clinicalpsychologist september 2019
Updated cv of shivalingaiah clinicalpsychologist  september 2019Updated cv of shivalingaiah clinicalpsychologist  september 2019
Updated cv of shivalingaiah clinicalpsychologist september 2019
SUVARNA KARNAKA INTEGRATED RURAL DEVELOPMENT SOCIETY
 
Life you dec14 jan15
Life you dec14 jan15Life you dec14 jan15
Life you dec14 jan15
Joint Base Myer-Henderson Hall
 
Letter Sample in english. Try this for free
Letter Sample in english. Try this for freeLetter Sample in english. Try this for free
Letter Sample in english. Try this for free
JaspherOcampo1
 
Fs. letter
Fs. letterFs. letter
Fs. letter
Kyoko Uchikawa
 
Fairmont Focus 3: 5 February 2015
Fairmont Focus 3: 5 February 2015Fairmont Focus 3: 5 February 2015
Fairmont Focus 3: 5 February 2015
Elize Crouse
 
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOSDIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
AngelDianneLegaspi
 
2013 Summer Program
2013 Summer Program2013 Summer Program
2013 Summer Program
Noel P. Rodriguez
 

Similar to four skills integration (18)

Family Resources Power Point.pptx
Family Resources Power Point.pptxFamily Resources Power Point.pptx
Family Resources Power Point.pptx
 
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity CentreAfter-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
After-school Classes in Worli, South Mumbai – At Bright Sparks Activity Centre
 
K 12- The Grade III Learner
K 12- The Grade III LearnerK 12- The Grade III Learner
K 12- The Grade III Learner
 
Diversity
DiversityDiversity
Diversity
 
Resume.CL.2015
Resume.CL.2015Resume.CL.2015
Resume.CL.2015
 
ResumeJanus
ResumeJanusResumeJanus
ResumeJanus
 
DecemberxforPDFxxx (2)
DecemberxforPDFxxx (2)DecemberxforPDFxxx (2)
DecemberxforPDFxxx (2)
 
Kasiglahan village nhs citizen's charter cc2021
Kasiglahan village nhs citizen's charter cc2021Kasiglahan village nhs citizen's charter cc2021
Kasiglahan village nhs citizen's charter cc2021
 
October 15 newsletter
October 15  newsletterOctober 15  newsletter
October 15 newsletter
 
GSA Newsletter July 2010
GSA Newsletter July 2010GSA Newsletter July 2010
GSA Newsletter July 2010
 
Engagement of Students
Engagement of StudentsEngagement of Students
Engagement of Students
 
Updated cv of shivalingaiah clinicalpsychologist september 2019
Updated cv of shivalingaiah clinicalpsychologist  september 2019Updated cv of shivalingaiah clinicalpsychologist  september 2019
Updated cv of shivalingaiah clinicalpsychologist september 2019
 
Life you dec14 jan15
Life you dec14 jan15Life you dec14 jan15
Life you dec14 jan15
 
Letter Sample in english. Try this for free
Letter Sample in english. Try this for freeLetter Sample in english. Try this for free
Letter Sample in english. Try this for free
 
Fs. letter
Fs. letterFs. letter
Fs. letter
 
Fairmont Focus 3: 5 February 2015
Fairmont Focus 3: 5 February 2015Fairmont Focus 3: 5 February 2015
Fairmont Focus 3: 5 February 2015
 
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOSDIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
DIAGNOSTIC-TOS-final.docx- DIAGNOSTIC TOS TOS TOS
 
2013 Summer Program
2013 Summer Program2013 Summer Program
2013 Summer Program
 

four skills integration

  • 1. JOINING COMPETITIONS? (Check all that apply) Entertainment Night School Quiz Contest Poster Making Contest CSIW Research Congress Essay Writing Contest Pasalubong Festival SPECIAL MEDICATION/S NEEDED: FOOD RESTRICTIONS: Pork Fish Beef Mollusk (ex: squid) Chicken Crustaceans (ex: crab) Goat Dinuguan/Sisig Others: Pambansang Kapisanan ng mga Kabataan Samahan ng Agham (Philippine Society of Youth Science Clubs), Inc. 2013 National Children’s Science Interactive Workshop TERRAGENERA: Navigating, Unearthing and Reviving the Wonders of Mizra October 21-24, 2013 | Royale Tagaytay Country Club, Alfonso, Cavite PERSONAL INFORMATION Name: LAST NAME FIRST NAME M.I. Nickname: Birthday: Gender: Female Male Contact No: MONTH DAY YEAR Teacher Student Grade Level: Email: Home Address: STAPLE 2 pcs. 1x1 pictures here (write FULL NAME at the back of each photo) SCHOOL INFORMATION School Name: School Address: School Contact Number/s: MEDICAL CERTIFICATE I hereby certify that I have examined and found him/her physically fit to join the 2013 National Children’s Science Interactive Workshop. Signature over Printed Name of Physician PARENTAL CONSENT I hereby allow my son/daughter to participate in the 2013 National Children’s Science Interactive Workshop. I will not hold the organizers responsible to any accident that may happen beyond their control. NCSIW 2013 Shirt Size (Please refer to the attached Comparative Shirt Size Chart. Also, please note that shirt sizes will only be guaranteed if you submit your Registration forms on or before October 4, 2013.) Small Medium Large Extra Large Extra Extra Large IN CASE OF EMERGENCY, please contact: Name: _ Signature over Printed Name of Parent ADVISER’S AGREEMENT I hereby agree to the rules and regulations set by the organizers and that I will be held responsible for any loss or damage of the venue’s facilities. Signature over Printed Name of Adviser Relationship: Contact Number/s: Address: PLEASE SEND YOUR APPLICATION REQUIREMENTS TO: NCSIW Secretariat Philippine Society of Youth Science Clubs Unit 703 West Mansions Condominium, Zamboanga St. Brgy. Nayong Kanluran, Quezon City 1104 PRINCIPAL’S ENDORSEMENT I certify that is a bona fide student of and is one of the school’s official delegates to the 2013 National Children’s Science Interactive Workshop. Signature over Printed Name of Principal Telephone: (02)393-4384 | Telefax: (02)332-8151 Only the first 1000 participants will be accommodated! Deadline for payment of reservation fee and submission of registration form is on OCTOBER 4, 2013. TO THE SCIENCE CLUB ADVISER: Please send a COMPLETE list of participants (full names) and their birth dates in Excel File format (downloadable at http://psysc.org/?page_id=262) and send to csiw@psysc.org with the email subject “CSIW 2013 Participants Insurance_<Name of School>”.