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    Parental Consent Form

    Uploaded by

    geoffandreiones

    Copyright:

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

    Parental Consent Form

    Uploaded by

    geoffandreiones
    4 views1 page

    Original Title

    PARENTAL CONSENT FORM

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    4 views1 page

    Parental Consent Form

    Uploaded by

    geoffandreiones

    Copyright:

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

    STATEMENT OF PARENTAL CONSENT

    Dear Parents / Guardians:

    Your son / daughter / ward has expressed his / her intentions of attending the District Secondary Schools Press
    Conference to be held on November 8 (7:00 a.m. to 5:00 p.m.) and November 9 (7:00 a.m. to 8:00 p.m.) at
    Culiat High School, Quezon City, Philippines.

    Should you allow your son / daughter / ward to join the aforementioned activity, kindly accomplish the attached
    Parent’s / Guardian Consent Form and return the same to the Student Activities and Development Unit (SADU) on
    at least a day before the event.

    Noted by:

    Mr. Emmanuel Bersabe Mr. Kevin Quitzon


    Moderator Co-moderator

    ✄
    REPLY SLIP

    I permit my son/daughter/ward _______________________, _______________________ to attend


    FULL NAME YEAR & DEGREE PROGRAM

    District Secondary Schools Press Conference to be held on November 8 (7:00 a.m. to 5:00 p.m.) and November
    9 (7:00 a.m. to 8:00 p.m.) at Culiat High School, Quezon City, Philippines.

    I trust and recognize the utmost diligence observed by the organizers or authorized representative in supervising the
    above-mentioned activity to prevent any untoward incident that may happen. I hereby waive any claim against the school
    authorities or its representatives for any injury that may happen to my child while he/she takes part in any of these activities
    after the school representatives have exhausted all the necessary precautions. I am aware that in the event of any injury that
    happens to my child while he/she takes part in any of these activities, medical and related expenses that may be incurred in the
    treatment of my child, over and above those covered by the applicable school accident insurance, will be borne by me.

    Signature over printed name Signature over printed name


    Parent / Guardian Student

    Contact Number Contact Number

    NOTE: A copy of an accomplished Reply Slip must be forwarded to the Student Activities and Development Unit (SADU), Admin
    Building. Original copy must be kept by the Faculty / Associate In-charge. Students who did not submit their accomplished Reply
    Slip shall not be allowed to join the off-campus activity.

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