Nlca Reg Form and Parent Consent

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Annex 1 Annex 2

Learning Camp Registration Template Parent’s Consent Template

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
Region III - Central Luzon Region III - Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
MEYCAUAYAN NATIONAL HIGH SCHOOL MEYCAUAYAN NATIONAL HIGH SCHOOL
Camalig, City of Meycauayan, Bulacan Camalig, City of Meycauayan, Bulacan

LEARNING CAMP REGISTRATION TEMPLATE Date: __________________

PARENTAL CONSENT
CAMP GROUP: _________________________________________
I / We hereby willingly and voluntarily give consent to the participation of my /our
NAME: _________________________________________________
son/daughter ______________________________________
GRADE LEVEL: __________________________________________ in the Learning Camp from July 1 to July 19, 2024.

(If SHS, specify the strand: ________________________________


I have considered the benefits that my son/daughter will get from his/her participation in this
Age: __________ Address: _________________________________ activity provided that due care and precaution will be observed to ensure the comfort and safety
of my son/ daughter. DepEd employees and personnel may not be held responsible for any
________________________________________________________ encountered incident that may happen beyond their control.

PARENT/ LEGAL GUARDIAN: _____________________________


_______________________ _____________________________
CONTACT NUMBER: _____________________________________ Signature of Father Signature of Mother
over printed name and date over printed name and date
FINAL GRADE IN FILIPINO: _____________________
_________________________________
ENGLISH ______________________ Signature of Guardian over
Printed name and date
MATH: ________________________
Verified By:
SCIENCE: ______________________
_______________________________ Date: ______________________
Teacher

Note: If No Parent/s submit affidavit of guardianship duly verified by the teacher, if parents are abroad a
Special Power of Attorney is needed)

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