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    NLC Forms

    Uploaded by

    Azia Salcedo Nacario Clet
    Summer Classes

    Copyright:

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

    NLC Forms

    Uploaded by

    Azia Salcedo Nacario Clet
    7 views2 pages
    Summer Classes

    Original Title

    NLC FORMS

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Summer Classes

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views2 pages

    NLC Forms

    Uploaded by

    Azia Salcedo Nacario Clet
    Summer Classes

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Annex 2

    Parent’s Consent Template

    Republic of the Philippines


    DEPARTMENT OF EDUCATION
    Region V Bicol
    Division of City Schools
    DON LAZARO MADARA MEMORIAL SCHOOL
    San Nicolas Ilian, Iriga City

    __________________________

    PARENTAL GUARDIAN CONSENT

    I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter
    ______________________________________ in the Learning Camp from July 01 -19, 2024.
    Name of Learner (Dates of Attendance)
    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. DepEd
    employees and personnel may not be held responsible for untoward incidents that may happen beyond their
    control.

    _________________________ _________________________
    Signature of Father’s Over Signature of Mother’s Over
    (Printed name and Date) (Printed Name and Date)

    _______________________________
    Signature of Guardian’s over
    Printed Name/Date

    _________________________________
    Relationship with the Learner
    Verified By:

    AIZA N. CLET Date:


    _______________________
    Teacher

    Note: If No Parent/s, submit Affidavit of Guardianship duly signed by the teacher. If parents are abroad a
    Special Power of Attorney/SPA is needed.

    Annex 1
    Learning Camp Registration Template
    Republic of the Philippines
    DEPARTMENT OF EDUCATION
    Region V Bicol
    Division of City Schools
    IRIGA CITY DIVISION
    DON LAZARO MADARA MEMORIAL SCHOOL
    San Nicolas Ilian, Iriga City

    Learning Camp Registration Template


    Camp Group: _____________________________________
    Name: _____________________________________
    Grade Level: _____________________________________
    If in Senior High School, specify the strand______________________________________
    Age: _____________________________________
    Address: _____________________________________
    Parent/Legal Guardian: _______________________________
    Contact Number: ____________________________________
    Final Grades in English________________________________
    Math_________________________________
    Science_______________________________

    Annex 1
    Learning Camp Registration Template

    Republic of the Philippines


    DEPARTMENT OF EDUCATION
    Region V Bicol
    Division of City Schools
    IRIGA CITY DIVISION
    DON LAZARO MADARA MEMORIAL SCHOOL
    San Nicolas Ilian, Iriga City

    Learning Camp Registration Template


    Camp Group: _____________________________________
    Name: _____________________________________
    Grade Level: _____________________________________
    If in Senior High School, specify the strand______________________________________
    Age: _____________________________________
    Address: _____________________________________
    Parent/Legal Guardian: _______________________________
    Contact Number: ____________________________________
    Final Grades in English________________________________
    Math_________________________________
    Science_______________________________

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