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    3 - Parental Consent

    Uploaded by

    lea karen Gelido
    The document contains 4 parental consent forms from San Miguel National High School in Pangasinan, Philippines. The forms give consent for John Kurt Sierra, Angela P. Leal, Irish Mae E. Barrientos, and Remy Rose M. Sison to participate in lower meets leading up to Palarong Pambansa. The parents acknowledge the potential benefits but also agree the Department of Education is not responsible for any incidents beyond their control. Each form is signed by both parents and verified by the teacher-adviser Erlina L. Ballo.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    3 - Parental Consent

    Uploaded by

    lea karen Gelido
    49 views4 pages
    The document contains 4 parental consent forms from San Miguel National High School in Pangasinan, Philippines. The forms give consent for John Kurt Sierra, Angela P. Leal, Irish Mae E. Barrientos, and Remy Rose M. Sison to participate in lower meets leading up to Palarong Pambansa. The parents acknowledge the potential benefits but also agree the Department of Education is not responsible for any incidents beyond their control. Each form is signed by both parents and verified by the teacher-adviser Erlina L. Ballo.

    Original Description:

    parental consent is a DEPED file for athletes in the sports competitions

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    © © All Rights Reserved

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    The document contains 4 parental consent forms from San Miguel National High School in Pangasinan, Philippines. The forms give consent for John Kurt Sierra, Angela P. Leal, Irish Mae E. Barrientos, and Remy Rose M. Sison to participate in lower meets leading up to Palarong Pambansa. The parents acknowledge the potential benefits but also agree the Department of Education is not responsible for any incidents beyond their control. Each form is signed by both parents and verified by the teacher-adviser Erlina L. Ballo.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    49 views4 pages

    3 - Parental Consent

    Uploaded by

    lea karen Gelido
    The document contains 4 parental consent forms from San Miguel National High School in Pangasinan, Philippines. The forms give consent for John Kurt Sierra, Angela P. Leal, Irish Mae E. Barrientos, and Remy Rose M. Sison to participate in lower meets leading up to Palarong Pambansa. The parents acknowledge the potential benefits but also agree the Department of Education is not responsible for any incidents beyond their control. Each form is signed by both parents and verified by the teacher-adviser Erlina L. Ballo.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    Republic of the Philippines

    Department of Education
    I
    (Region)
    Pangasinan Division II
    (Division)
    SAN MIGUEL NATIONAL HIGH SCHOOL
    (School)
    SAN MIGUEL NATIVIDAD, PANGASINAN
    School Address
    Date: September 04, 2019

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

    I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
    JOHN KURT SIERRA in the lower meets up to Palarong Pambansa.
    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

    TEODORO SIERRA SHERELYN SIERRA


    Name of Father Name of Mother

    Signature of Guardian over Printed name

    (Relationship with the Athlete)

    Verified by:

    ERLINDA L. BALLO
    Teacher-Adviser/School Head/Registrar
    Republic of the Philippines
    Department of Education
    I
    (Region)
    Pangasinan Division II
    (Division)
    SAN MIGUEL NATIONAL HIGH SCHOOL
    (School)
    SAN MIGUEL NATIVIDAD, PANGASINAN
    School Address
    Date: September 04, 2019

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

    I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
    ANGELA P. LEAL in the lower meets up to Palarong Pambansa.
    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

    AUGUSTO LEAL LEONILA P. LEAL


    Name of Father Name of Mother

    Signature of Guardian over Printed name

    (Relationship with the Athlete)

    Verified by:

    ERLINDA L. BALLO
    Teacher-Adviser/School Head/Registrar
    Republic of the Philippines
    Department of Education
    I
    (Region)
    Pangasinan Division II
    (Division)
    SAN MIGUEL NATIONAL HIGH SCHOOL
    (School)
    SAN MIGUEL NATIVIDAD, PANGASINAN
    School Address
    Date: September 04, 2019

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

    I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
    IRISH MAE E. BARRIENTOS in the lower meets up to Palarong Pambansa.
    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

    LEONIDO BARRIENTOS SABINA E. BARRIENTOS


    Name of Father Name of Mother

    Signature of Guardian over Printed name

    (Relationship with the Athlete)

    Verified by:

    ERLINDA L. BALLO
    Teacher-Adviser/School Head/Registrar
    Republic of the Philippines
    Department of Education
    I
    (Region)
    Pangasinan Division II
    (Division)
    SAN MIGUEL NATIONAL HIGH SCHOOL
    (School)
    SAN MIGUEL NATIVIDAD, PANGASINAN
    School Address
    Date: September 04, 2019

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

    I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
    REMY ROSE M. SISON in the lower meets up to Palarong Pambansa.
    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

    RENATO SISON REMEDIOS SISON


    Name of Father Name of Mother

    Signature of Guardian over Printed name

    (Relationship with the Athlete)

    Verified by:

    ERLINDA L. BALLO
    Teacher-Adviser/School Head/Registrar

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