NLC - Parent Consent

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Republic of the Philippines

Department of Education
Region X Northern Mindanao
Division of Cagayan de Oro City
West 1 District
Phil. Island Kids Int’l. Foundation, Inc.
Sacred Heart Village Elem. School – Annex
Island Kids Community Learning Center, Scions, District 3, Canitoan, Cagayan de Oro City

NATIONAL LEARNING CAMP 2024


- Annex 2. Parent/Legal Guardian Consent Form –

________________________
Date

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of
my/our son/daughter ____________________(name of learner)_______________ in the
National Learning Camp from July 2 to 4, 9 to 11, and 16 to 18.

I have considered the benefits that my son/daughter will get 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 over Signature of Mother over
Printed Name/Date Printed Name/Date

______________________________
Signature of Guardian over
Printed Name/Date

________________________________
Relationship with the Learner

Verified By:

________________________________________ Date: ___________


Teacher

Note: If No Parent/s, submit an Affidavit of Guardianship duly verified by the teacher.

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