Parental Consent Form

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Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
District 5
MARIGONDON NATIONAL HIGH SCHOOL
Marigondon, Lapu-Lapu City

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my son/daughter
_________________________________ in the ______________________________ to be held at
___________________________________ on ______________________ .

I have considered the benefits that my son/daughter will derive from his/her participating in this activity
with the understanding that due care and precaution will be observed to ensure the comfort and safety
to the students and that DepEd employees and personal 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

__________________________________ ________________________________
Signature of Guardian over Printed Name Verified by Teacher - Adviser

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