PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their practice for
United Nations on October 27, 2023. Their practice is on October 14 & 21, 2023, Saturday at
Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Verified by: Noted:

SHARMANE T. DE LA CRUZ, LPT. RINA F. BANAGLORIOSO,

LPT
Grade 11 Solomon – Adviser School Principal

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123

PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their practice for
United Nations on October 27, 2023. Their practice is on October 14 & 21, 2023, Saturday at
Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Verified by: Noted:

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123
SHARMANE T. DE LA CRUZ, LPT. RINA F. BANAGLORIOSO, LPT

Grade 11 Solomon – Adviser School Principal

PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their practice for
United Nations on October 27, 2023. Their practice is on October 14 & 21, 2023, Saturday at
Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Verified by: Noted:

REYSAM GARNANDE RINA F. BANAGLORIOSO,

LPT
Grade 11 Samuel – Adviser School Principal

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123

PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their practice for
United Nations on October 27, 2023. Their practice is on October 14 & 21, 2023, Saturday at
Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Verified by: Noted:

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123
REYSAM B. GARNANDE RINA F. BANAGLORIOSO,
LPT
Grade 11 Samuel – Adviser School Principal

PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their pictorial &
practice for United Nations on October 27, 2023. Their pictorial is on October 14, 2023, Saturday
at Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Verified by: Noted:

SHARMANE T. DE LA CRUZ, LPT.
Araling Panlipunan Teacher
SHARMANE T. DE LA CRUZ, LPT. RINA F. BANAGLORIOSO, LPT
ROSALIE
Araling S. SABANAL,
Panlipunan LPT.
Teacher School Principal
Araling Panlipunan Teacher

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123

PARENTAL CONSENT

I/We _____________________________ hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in their pictorial &
practice for United Nations on October 27, 2023. Their pictorial is on October 14, 2023, Saturday
at Dancalan Private Academy, Inc., from 8:00 am until 3:30 pm.

I have considered the benefits that my son/daughter will derive 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 the Dancalan Private Academy, Inc., faculty and staff may
not be held responsible for any untoward incident that may happen beyond their control.

_______________________________________ _______________
Signature of the Guardian over Printed Name Date

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123
Verified by: Noted:

SHARMANE T. DE LA CRUZ, LPT.

SHARMANE T. DE LA CRUZ,
Araling Panlipunan Teacher LPT. RINA F. BANAGLORIOSO, LPT

Araling Panlipunan Teacher School Principal

ROSALIE S. SABANAL, LPT.
Araling Panlipunan Teacher

Dancalan Private Academy, Inc.

Purok 1, Dancalan, Ilog, Negros Occidental
[email protected]
09285492903/09155803123