Republic of the Philippines
Department of Education
National Capital Region
Schools Division Of Navotas City
Kaunlaran High School
North Bay Boulevard South – Kaunlaran, Navotas City
YOUNG READERS’ CIRCLE
School Year 2025-2026
CLUB MEMBERSHIP FORM
Personal Record:
Name:_______________________________________________________________________________
Birthday:______________________ Age:______ Religion:_______________________________
Address:____________________________________________________________________________
Facebook Account:_________________________________________________________________
Email-Address:_____________________________________________________________________
School Record:
LRN No.:______________________________________
Grade:____________Section:_________________________________Adviser:___________________
______________
Club Interests and Skills:
Please briefly describe your interests, skills, or experiences related to the club's focus:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_________________________________________________________
Why do you want to join Young Readers’ Circle? (Please describe your motivations and
expectations):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_________________________________________________________
I, ______________________(name of student) willingly joins the Young Readers’ Circle. I
agree to abide the club's constitution, bylaws, and code of conduct.
Signature: ____________________________ Date: ____/____/____
Parent/Guardian Consent (for students under 18 years of age):
I, the undersigned parent/guardian of the above-named applicant, consent to their
participation in Young Readers’ Circle and agree to support their involvement.
Parent/Guardian Name: ____________________________
Signature: ____________________________ Date: ____/____/____
Phase I, NBBS – Kaunlaran, Navotas City
8 – 351 – 09 – 12
8 – 351 – 25 – 40
[email protected] http://kaunlaranhs.depednavotas.ph/