Parental Consent Form

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Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Division of Leyte

STA. FE STAND-ALONE SENIOR HIGH SCHOOL


SFSASHS SUPREME STUDENT GOVERNMENT
Sta. Fe, Leyte

P A R E N TA L C O N S E N T

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


son/daughter in the 2018 SPG/SSG
Officers Leadership Training & Teacher Adviser Training Program to be held at Palo
Central School, Palo, Leyte on August 10-12, 2018.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care and precaution will be
observed to ensure the comfort and safety of the delegation and that DepEd employees and
personnel may not be held responsible for any untoward incident that may happen beyond
their control.

Signature of Father Signature of Mother

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Delegate)

Verified by:

RONNIE F. TAMBAL OFELIA N. ALCOBER, PhD.


Teacher – SSG Adviser School Principal II

Any mark or alteration of any entry invalidates the document

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