Parental Consent

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Republic of the Philippines

DEPARTMENT OF EDUCATION
VI – WESTERN VISAYAS
Region
ILOILO
Division
BOBON PRIMARY SCHOOL
School
BRGY. BOBON, BANATE, ILOILO
School Address

January 19, 2023


Date

P A R E N T’S C O N S E N T

I/We hereby willingly and voluntarily give consent 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 of Department of Education to collect, process, retain, and
dispose of personnel 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

Adviser School Head


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

Remarks:

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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