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    Consent Form

    Uploaded by

    Benjie Villaflores

    Copyright:

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

    Consent Form

    Uploaded by

    Benjie Villaflores
    9 views2 pages

    Original Title

    CONSENT-FORM

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    9 views2 pages

    Consent Form

    Uploaded by

    Benjie Villaflores

    Copyright:

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

    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    Division of City Schools
    STA RITA HIGH SCHOOL
    Olongapo City

    Date: _________________

    PARENTAL CONSENT
    I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter
    (name)_____________________________ in the Children’s Month Celebration on to be held on West
    Bajac-Bajac Covered Court on November 11, 2023.
    I have considered the benefits 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. Sta. Rita High School employees and personnel may not be held responsible for any
    untoward incident that may happen beyond their control.

    _______________________________________ ________________________________________
    Signature of Father over Printed Name and Date Signature of Mother over Printed Name and Date

    _______________________________________
    Signature of Guardian over Printed Name and Date
    ____________________________
    Relationship with the Learner

    Verified by:

    ______________________________ Date: _____________________


    (Teacher)

    Note: If no parent/s, submit affidavit of guardianship duly certified by the teacher. If parents are abroad
    Special Power of Attorney is needed.
    Republic of the Philippines
    DEPARTMENT OF EDUCATION
    Division of City Schools
    STA RITA HIGH SCHOOL
    Olongapo City
    Date: ______________________

    __________________________
    (Region)
    __________________________
    (Division)
    __________________________
    (School)
    ________________________
    (School Address)

    Learning Camp Registration Form


    Camp Group: _____________________________
    Name: _____________________________
    Grade Level: _____________________________
    Age: _____________________________
    Address: _____________________________
    Parent/Legal Guardian: _____________________________
    Contact Number: _____________________________
    Final Grade in English: _____________________________
    Math: _____________________________
    Science: _____________________________

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