Scribd Logo
Upload

Welcome to Scribd!

    • 15 views

    Parental Consent1

    Uploaded by

    sibobo4485
    This document is a parent/guardian consent form for an off-campus activity. It provides information about the student, including their name, date of birth, parent/guardian's name and contact details. It details the activity as a film viewing of "Pitong Kabang Palay" at SM City Clark. The parent acknowledges being informed of the activity details and rules for safety, and consents to their child's participation, taking responsibility for insurance and expenses. Space is provided for additional notes.

    Copyright:

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

    Parental Consent1

    Uploaded by

    sibobo4485
    15 views1 page
    This document is a parent/guardian consent form for an off-campus activity. It provides information about the student, including their name, date of birth, parent/guardian's name and contact details. It details the activity as a film viewing of "Pitong Kabang Palay" at SM City Clark. The parent acknowledges being informed of the activity details and rules for safety, and consents to their child's participation, taking responsibility for insurance and expenses. Space is provided for additional notes.

    Original Title

    Parental-Consent1

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a parent/guardian consent form for an off-campus activity. It provides information about the student, including their name, date of birth, parent/guardian's name and contact details. It details the activity as a film viewing of "Pitong Kabang Palay" at SM City Clark. The parent acknowledges being informed of the activity details and rules for safety, and consents to their child's participation, taking responsibility for insurance and expenses. Space is provided for additional notes.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    15 views1 page

    Parental Consent1

    Uploaded by

    sibobo4485
    This document is a parent/guardian consent form for an off-campus activity. It provides information about the student, including their name, date of birth, parent/guardian's name and contact details. It details the activity as a film viewing of "Pitong Kabang Palay" at SM City Clark. The parent acknowledges being informed of the activity details and rules for safety, and consents to their child's participation, taking responsibility for insurance and expenses. Space is provided for additional notes.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 1

    Republic of the Philippines

    Department of Education
    REGION III
    SCHOOLS DIVISION OF PAMPANGA
    _____________________________________________________________________

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


    Name of Learner : ______________________________________________________________
    Date of Birth : __________________________________________________________________
    Parent’s/Guardian’s Name : _______________________________________________________
    Relationship to Learner : _________________________________________________________
    Home Address : ________________________________________________________________
    Contact Number/s : ______________________________________________________________
    Title of Activity : OFF CAMPUS ACTIVITY – “PITONG KABANG PALAY” FILM VIEWING
    Venue : SM CITY CLARK (Clarkfield, Pampanga)

    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 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 participation,
    acknowledge 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 Signature Date

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

    Republic of the Philippines


    Department of Education
    REGION III
    SCHOOLS DIVISION OF PAMPANGA
    _____________________________________________________________________

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


    Name of Learner : __________________________________________________________
    Date of Birth : ______________________________________________________________
    Parent’s/Guardian’s Name : ___________________________________________________
    Relationship to Learner : ______________________________________________________
    Home Address : _____________________________________________________________
    Contact Number/s : ___________________________________________________________
    Title of Activity : OFF CAMPUS ACTIVITY – “PITONG KABANG PALAY” FILM VIEWING
    Venue : SM CITY CLARK (Clarkfield, Pampanga)

    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 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 participation,
    acknowledge 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 Signature Date

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

    You might also like