Annex 2 Parents Consent Template

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Annex 2

Parent’s Consent Template

VALENCIA NATIONAL HIGH SCHOOL


(School)
Lapu-lapu St.,Poblacion, Valencia City, Bukidnon
(School Address)

_____________________
Date

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ________________________________________ (name of learner) in the
Learning Camp from _______________________________________(dates of attendance).
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 Father over
Printed Name and Date Printed Name and Date

_______________________________________
Signature of Guardian over
Printed Name and Date

________________________________________
Relationship with the Learner

Verified By:

_________________________ Date: __________________


Teacher

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

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