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FIELDTRIP Consent Form

This document is a parent/guardian consent form for an off-campus activity at Norzagaray National High School in the Philippines. It requests information about the student and their parent/guardian, details of the off-campus activity such as location and date, and has the parent acknowledge and consent to the risks and rules of the activity. The parent also takes sole responsibility for any travel expenses or insurance related to their child's participation. Space is provided for additional notes from the parent to the teacher.

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Gabrielle Anne San Gabriel
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Download as DOCX, PDF, TXT or read online on Scribd
106 views

FIELDTRIP Consent Form

This document is a parent/guardian consent form for an off-campus activity at Norzagaray National High School in the Philippines. It requests information about the student and their parent/guardian, details of the off-campus activity such as location and date, and has the parent acknowledge and consent to the risks and rules of the activity. The parent also takes sole responsibility for any travel expenses or insurance related to their child's participation. Space is provided for additional notes from the parent to the teacher.

Uploaded by

Gabrielle Anne San Gabriel
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF BULACAN
NORZAGARAY NATIONAL HIGH SCHOOL
A. Villarama St., Poblacion, Norzagaray, Bulacan

ANNEX C: PARENT’S/ GUARDIAN’S CONSENT FORM


Name of Learners: ____________________________________________________________
Date of Birth: _______________________________________ Gender: ________________
Parent’s/Guardian’s Name: ____________________________________________________
Relationship to Learners:_______________________________________________________
Home Address:_______________________________________________________________
Contact Number/s:___________________________________________________________
Title of the Activity:___________________________________________________________
Venue:__________________________________Date of Activity:______________________

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 established for
the said 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.
________________________ _______________________
Parent/Guardian’s Name and Date
Signature

Notes (other information you may wish to inform the teacher, such as child’s medical
condition,etc):

Address: A. Villarama St., Poblacion, Norzagaray, Bulacan


Contact No.: (044) 913-1110 | E-mail: [email protected] / [email protected]

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