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Parental Consent Form

This document is a parental consent and waiver allowing a child to participate in a specified school activity. It includes authorization for the collection and processing of personal information in compliance with the Data Privacy Act of 2012. The document requires signatures from the parent and the adviser/coach, along with contact information and dates.

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Gerald Mark Camay
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62 views1 page

Parental Consent Form

This document is a parental consent and waiver allowing a child to participate in a specified school activity. It includes authorization for the collection and processing of personal information in compliance with the Data Privacy Act of 2012. The document requires signatures from the parent and the adviser/coach, along with contact information and dates.

Uploaded by

Gerald Mark Camay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PARENTAL CONSENT AND WAIVER

TO WHOM IT MAY CONCERN:

I/We am/are allowing my/our son/daughter/ward ___________________________,


(Name of child/learner)

who is currently enrolled in __________________________________________________, to join


(Name of School)

and participate in the ______________________________________________________________,


(Name of activity)

to be held on ______________________ at ____________________________________________.


(Inclusive Dates) (Venue)

I/We have considered the benefits that my son or daughter will derive
from his/her participation in this activity provided that due care, diligence and
necessary precautions will be observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to collect,


process, retain, and dispose of personal information of the above-mentioned
athlete in accordance with the Data Privacy Act of 2012.

Signature of Parent Over Printed Contact Number


Name
__________________________________
Date

Verified:

Adviser/Coach Date
(Signature Over Printed Name)

Address: Fortich St., Sumpong, Malaybalay City, Bukidnon


Hotline Number: +639178423657
Email Address: [email protected]
Website: https://bukidnon.deped.gov.ph

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