Dces Numeracy Assessment Waiver

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Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
DIVISION OF PASIG CITY
DE CASTRO ELEMENTARY SCHOOL
24 Everlasting St. De Castro Subd. Sta Lucia Pasig City

PARENT CONSENT AND WAIVER


I, ____________________________, as the parent or legal guardian of _________________
hereby acknowledge that I have been informed of the details of the conduct of
Implementation of Limited Face to Face learning modality.
I understand that BAGGAO NATIONAL AGRICULTURAL SCHOOL SM ANNEX shall implement
the minimum public health standards set by the government to minimize risk of the spread
of COVID 19, but if cannot guarantee that my child will not become infected with COVID 19
given that COVID 19 is highly contagious.
I acknowledge that my child/ren’s in persons attendance in school will include associating
with teachers, fellow learners and school personnel, and other persons inside and outside
that may put my child at risk of COVID 19 transmission, notwithstanding the precautions
undertaken by the school.
I acknowledge that my child/ren’s participation in this activity is completely voluntary. While
there remains the risk of possible COVID 19 transmissions to my child/dren, and to the
members of my household, I freely assume the said risk and I permit my child/dren to attend
the school under this activity, the Face-to-Face Classes.
I am aware of the symptoms of COVID 19 include but not limited to, fever or chills, cough,
shortness of breath or difficulty of breathing, body and head ache, loss of taste and smell,
sore throat, congestion, nausea, vomiting and diarrhea.
I confirm that my child/dren currently has none of those symptoms, and is in good health. I
will not allow my child/dren to physically go to school to attend classes if my child/dren or
any members of my household develops any said symptoms or any other illness that may or
may not related to COVID 19. I will also inform the school and not allow my child/dren to
attend Face to Face classes if my child/dren or any of my household members tests positive
for COVID 19. My child/dren and I, with my household members, will follow the required
health and safety protocols and procedures adopted by the school and our community.
To the extend allowed by law and rules, I hereby agree to waive, release and discharge any
and all claims, causes of action, damages and rights against the school and its personnel as
well as officials and personnel of the Department of Education relative to the conduct of the
activity
PARENT CONSENT AND WAIVER

I, ____________________________, as the parent or legal guardian of


____________________________________. hereby acknowledge that I have been informed of the
details of the conduct of Numeracy Assessment for Grade 1 (Paper and Pen) to be held tomorrow, June
23, 2022 at De Castro Elementary School.
I understand that DE CASTRO ELEMENTARY shall implement the minimum public health
standards set by the government to minimize risk of the spread of COVID 19, but it cannot guarantee that my
child will not become infected with COVID 19 given that COVID 19 is highly contagious.

I acknowledge that my child/ren’s in persons attendance in school will include associating with
teachers, fellow learners and school personnel, and other persons inside and outside that may put my
child/dren at risk of COVID 19 transmission, notwithstanding the precautions undertaken by the school.

I acknowledge that my child/ren’s participation in this activity is completely voluntary. While there
remains the risk of possible COVID 19 transmissions to my child/dren, and to the members of my household, I
freely assume the said risk and I permit my child to attend the said assessment.

I am aware of the symptoms of COVID 19 include but not limited to, fever or chills, cough, shortness of
breath or difficulty of breathing, body and head ache, loss of taste and smell, sore throat, congestion, nausea,
vomiting and diarrhea.
I confirm that my child/dren currently has none of those symptoms, and is in good health. I will not allow
my child/dren to physically go to school to attend the activity if my child/dren or any members of my household
develops any said symptoms or any other illness that may or may not related to COVID 19.

I will also inform the school and not allow my child/dren to attend the Numeracy Assessment if my
child/dren or any of my household members tests positive for COVID 19. My child/dren and I, with my
household members, will follow the required health and safety protocols and procedures adopted by the school
and our community.

To the extend allowed by law and rules, I hereby agree to waive, release, and discharge any and all
claims, causes of action, damages and rights against the school and its personnel as well as officials and
personnel of the Department of Education relative to the conduct of the activity.

With full understanding, I ________________________________ on behalf of my household members,


and my child/dren, hereby freely and voluntarily give my consent to my child/dren’s participation in the activity.
I also attest that I had sought the views of my child/dren and he/she has expressed willingness to participate in
the activity.

Signed this ______ day of _______________, 2022 at ______________________________.

______________________________________
Signature over Printed name of Parent/Guardian

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