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    NLC Parental Consent

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    Anabelle a. Sagarino

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    © All Rights Reserved
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    NLC Parental Consent

    Uploaded by

    Anabelle a. Sagarino
    21 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    21 views1 page

    NLC Parental Consent

    Uploaded by

    Anabelle a. Sagarino

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republika ng Pilipipinas

    Kagawaran ng Edukasyon
    REHIYON V
    SANGAY NG CAMARINES SUR
    SAN JOSE PILI NATIONAL HIGH SCHOOL
    SAN JOSE, PILI CAMARINES SUR

    ________________________________
    Date

    PARENTAL CONSENT

    I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter
    __________________________ in the Learning Camp from ________________________________.

    I have considered the benefits that my son/daughter will get 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. DepEd employees
    and personnel may not be held responsible for any untoward incident that may happen beyond their control.

    ________________________ ________________________
    Signature of Father over Signature of Mother over
    Printed Name & Date Printed Name & Date

    ____________________________
    Signature of Guardian over
    Printed Name/Date

    ____________________________
    Relationship with the Learner

    Verified By:
    ______________________________ Date: _____________________
    Teacher

    Note: If No Parents/s submit Affidavit of Guardianship duly verified by the teacher, if parents are abroad a Special Power of
    Attorney (SPA) is needed.

    Republika ng Pilipipinas
    Kagawaran ng Edukasyon
    REHIYON V
    SANGAY NG CAMARINES SUR
    SAN JOSE PILI NATIONAL HIGH SCHOOL
    SAN JOSE, PILI, CAMARINES SUR

    Camp Group: _________________________________


    Name: _________________________________
    Grade Level: _________________________________
    If in Senior High School, specify the strand: _________________________________
    Age: _________________________________
    Address: ___________________________________________________
    Parent/Legal Guardian: _________________________________
    Contact Number: _________________________________
    Final Grade in English: _________________________________
    Math: _________________________________
    Science: _________________________________

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