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    NLC Parent Consent & Registration

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    elmer.dalida001
    National Learning Camp Parent Consent & Registration

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

    NLC Parent Consent & Registration

    Uploaded by

    elmer.dalida001
    19 views3 pages
    National Learning Camp Parent Consent & Registration

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    © © All Rights Reserved

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    National Learning Camp Parent Consent & Registration

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views3 pages

    NLC Parent Consent & Registration

    Uploaded by

    elmer.dalida001
    National Learning Camp Parent Consent & Registration

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines

    Department of Education
    Region VI – Western Visayas
    Schools Division of Aklan
    MANDONG INTEGRATED SCHOOL
    Mandong, Batan, Aklan

    _____________________
    Date

    Parent/Legal Guardian Consent Form

    I/We hereby willingly and voluntarily give consent to the participation of


    my/our son/daughter ____________________________________in the National
    Learning Camp from July 2 to 4, 9 to 11, and 16 to 18.
    I have considered the benefit 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

    ____________________________________
    _________________________________________
    Relationship
    Signature ofwith the Learner
    Guardian over
    Printed Name/Date

    Verified By:
    _____________________________ Date: _________________
    Teacher
    Note: If No Parent/s, submit Affidavit of Guardianship duly certified by the teacher.

    Republic of the Philippines


    Department of Education
    Region VI – Western Visayas
    Schools Division of Aklan
    MANDONG INTEGRATED SCHOOL
    Mandong, Batan, Aklan

    The National Learning Camp Registration Template


    Name: __________________________________________________________
    Grade Level: __________________________________________________________
    Section: _________________________________________________________
    Age: __________________________________________________________
    Residential Address: _________________________________________________________
    Parent/Guardian:
    Name:__________________________________________________________________
    Contact Number:________________________________________________________
    ---------------------------------------------------------
    To be filled out by the Adviser/Learning Area Teacher:
    If Grade 1 to 3 assessment results in:
    CRLA _______________________
    RMA ________________________

    Recommended Camp Placement


    Reading _____________________
    Mathematics ________________

    If Grade 7, 8, 9, 10, academic performance and/or NLCA results:


    English _____________________
    Science _____________________
    Mathematics ________________

    Recommended Camp Placement


    English _____________________
    Science _____________________
    Mathematics ________________

    Teacher Adviser in the currently enrolled Grade Level:


    Name: _______________________________________
    Contact Number: ____________________________

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