Mariners’ Polytechnic Colleges Foundation

Canaman, Camarines Sur

Senior High School Department
The Mariners’ Chronicles

APPLICATION FORM
1x1

NAME: AGE: SEX:

ADDRESS: RELIGION: SECTION:
CONTACT NUMBER: E-MAIL ADDRESS:
LAST SCHOOL ATTENDED:
HOBBIES:

AWARDS RECEIVED (RELATED TO WRITING, DRAWING, OR JOURNALISM):

REASONS FOR APPLYING:

SIGNATURE OVER PRINTED NAME

 Mariners’ Polytechnic Colleges Foundation
Canaman, Camarines Sur
Senior High School Department
The Mariners’ Chronicles

COMMITMENT STATEMENT

I, ________________________, would like to be part of “The Mariners’ Chronicles”—the official

publication of senior high school of Mariners’ Polytechnic Colleges Foundation, Canaman, Camarines
Sur. As such, I will serve as vanguard of truth and will attend to my duties earnestly and whole-
heartedly. I will attend to meetings as if they were mandatory. All this, I pledge in the name of our
glorious school.

Name over printed name

Received by: Verified by:

FREDNIXEN B. GAPOY JULIE ANN FABAY

Acting Editor-in-Chief MaChro Adviser
Mariners’ Polytechnic Colleges Foundation
Canaman, Camarines Sur
Senior High School Department
The Mariners’ Chronicles

MEMBERSHIP FORM
 Mariners’ Polytechnic Colleges Foundation
Canaman, Camarines Sur
Senior High School Department
The Mariners’ Chronicles

PARENTS/GUARDIANS CONSENT

TO WHOM IT MAY CONCERN:

I/We, ______________________________________________________ of legal age, residing at

____________________________________________ do hereby grant permission to my/our child/ward
to join the ____________________________________ on ___________________.

Considering the benefits that will derived from the participation in such activities for the best
interest of our child/ward. I/We, voluntarily waived claims against coach/chaperon/trainer/organizer
and all the authorities’ participation after all precautionary measures and exhaustive efforts have been
taken by the person-in-charge.
Done in ___________________ this ___day of August, 2019.

Signature of parent/ guardian over printed name