Parent Consent
Parent Consent
Parent Consent
Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga del Norte
___________________________
Date
I have considered the benefits that my son/daughter will get from her
participation in the 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 Printed Name Signature of Mother over Printed Name
Date Signed: _________________ Date Signed: ____________________
____________________________________
Signature of Guardian over Printed Name
Date Signed: _____________________
_________________________________
Relationship with the Learner
Verified by: