Parental Consent: Department of Education San Carlos City

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Republic of the Philippines

DEPARTMENT OF EDUCATION
I
(Region)
SAN CARLOS CITY
(Division)
______________________________________
(School)
________________________________________
(School Address)

Date: _______________________

P A R E N TA L C O N S E N T

We hereby willingly and voluntarily give consent the participation of our


son/daughter ___________________________________ in the District V-B Meet on
September 19-21, 2019 hosted by Abanon NHS.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to
ensure the comfort and safety of my son/daughter and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

__________________________________
Teacher-Adviser/School Head/Registrar

Remarks:

FOR PALARONG PAMBANSA ONLY

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