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Parent Consent

sample template for parents consent

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Jessica Onibmuloc
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40 views1 page

Parent Consent

sample template for parents consent

Uploaded by

Jessica Onibmuloc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019 Republic of the Philippines

DEPARTMENT OF EDUCATION
1
(Region)
SCHOOLS DIVISION OFFICE II PANGASINAN
(Division)
CALMAY INTEGRATED SCHOOL
(School)
CALMAY,LAOAC, PANGASINAN
(School Address)

October 07, 2024


Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of


my/our son/daughter ZAC JHAYVER D. LAMPA__ in ATHLETICS 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:

MARIA CHRISTINA T. RENATO T. NARITO


LABARINTO
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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