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    Consent of Parent or Guardian

    Uploaded by

    Charisse Luares
    sample consent of parent

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Consent of Parent or Guardian

    Uploaded by

    Charisse Luares
    14 views2 pages
    sample consent of parent

    Original Title

    CONSENT-OF-PARENT-OR-GUARDIAN

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    © © All Rights Reserved

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    sample consent of parent

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    14 views2 pages

    Consent of Parent or Guardian

    Uploaded by

    Charisse Luares
    sample consent of parent

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    PARENT’S / GUARDIAN’S CONSENT FORM

    Name of Learner:
    Date of Birth: Sex:
    Name of Parent(s)/Guardian(s):
    Relationship to Learner:
    Home Address:
    Contact Number(s):
    Title of Activity: 2019 Division Elem. Campus Media and Research
    Conference
    Venue: Calauan, Laguna
    Date of Activity: September 18-20, 2019-08-28

    As the parent/guardian of the abovementioned learner, I hereby


    acknowledge that I have been informed of the details of the off-campus
    activity and voluntarily and freely elect to participate in this off-campus
    activity. Furthermore, I understand the risks associated with an off-campus
    activity and agree that the rules and regulations established for the said
    activity are for the safety and security of the participants and thus agree to
    instruct my child or children to obey them.
    Having understood all the aforementioned, I hereby consent to allow
    my child or children to participate, acknowledging all of the foregoing. I am
    also solely responsible for providing travel insurance and any expenses for
    my child or children’s participation in the activity.

    _______________________________________ ________________
    Name of Parent/Guardian and Signature Date Signed

    Notes:(Other info you may wish to inform the teacher,such as the child’s medical
    condition, etc.)
    Reference: DepEd Order No. 66, s. 2017

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