2024 - Parentalconsent

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Revised as of February 2024

Republic of the Philippines


Department of Education
REGION VIII (EASTERN VISAYAS)
DIVISION OF LEYTE
ASLUM ELEMENTARY SCHOOL
TANAUAN, LEYTE

PARENTAL CONSENT
Date:

To Whom It May Concern:

I/We hereby willingly and voluntarily give consent to the participation of my/
our son/daughter
in in all School Sports Meets
up to the Palarong Pambansa.

I/We have considered the benefits that my son or daughter will derive from
his/her participation in this activity provided that due care, diligence and necessary
precautions will be observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to collect,


process, retain, and dispose of personal information of the above-mentioned athlete in
accordance with the Data Privacy Act of 2012.

Signature of Father Over Printed Name Signature of Mother Over Printed Name

Verified:

Adviser School Head/Registrar


(Signature Over Printed Name) (Signature Over Printed Name)

Remarks:

Note:

Submit the necessary documents, i.e. Affidavit/Sworn Statement of Actual Care and Custody duly verified
by the adviser and school head, in cases signature of parents are unavailable.

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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