Parental Consent - Intramurals 23

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Republic of the Philippines

Department of Education
REGION VIII – EASTERN VISAYAS
SCHOOLS DIVISION OF ORMOC CITY
NEW ORMOC CITY NATIONAL HIGH SCHOOL
BARANGAY DON FELIPE LARRAZABAL, ORMOC CITY

PARENTAL CONSENT FORM

NAME: ______________________________ NICKNAME: _________


BIRTHDATE: __________________________ AGE: _____ GRADE: ___ SEX: _______________
ADDRESS: ____________________________________________________________________________
CONTACT NUMBER: ______________________________ FACTION: ________________________
IN CASE OF EMERGENCY, PLEASE NOTIFY:

NAME: __________________________________________________
ADDRESS: ____________________________________________________________________________
ACTIVE CONTACT NUMBER: SMART: _______________ GLOBE: _____________ DITO: _____________
RELATIONSHIP: _______________________

We permit our child to join the Intramurals SY 2023 – 2024 of New Ormoc City National High School.
As the child will be taking part in the event: ________________________.
We will allow the school to take videos and images of our child.

Name of Parents/Guardian and Signature: ___________________________

___________________________

Furthermore, it is understood that the school will take steps to ensure that taken images/videos will
solely be used for the purpose of documentation.

WAIVER

We, ______________________________________ hereby allow my child to attend the _____________


on ___________________. Understand that the New Ormoc City National High School (NOCNHS), staff,
employees, coaches, trainers will exercise due diligence and prudence required for the safety and well
being for the duration, place, and his/her participation for this event. We agree to let our child join
voluntarily, and to hold the NOCNHS free from all claims which may arise in connection with his/her
participation for the ____________________________. The waiver is made freely and willingly without
reservation whatsoever and does so with full knowledge of the possible risks involved.

______________________________________
PARENTS’/GUARDIANS’ SIGNATURE

NOTED:

ABEL M. DAYANDAYAN, Ed., D.


NOCNHS PRINCIPAL III

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