Sports PARENTAL CONSENT

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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Batangas
Sto. Tomas South District
PARENTAL CONSENT
San Juan Elementary School

I/We hereby willingly and voluntarily give consent the participants of my/our son/daughter
_____________________________________________ in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or daughter will derive 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 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 Athlete)

Verified by:

______________________

Teacher-Adviser

___MARITES Q. BALBA Ed. D._____

School Head

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