Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OF QUEZON CITY
QUEZON CITY HIGH SCHOOL
Date_________________________
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter
________________________________ in the National Learning Camp from July 2 to 4, 9 to 11 and 16 to 18.
(Name of Learner)
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 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 Signature of Mother Over Printed
Name/ Date Name/Date
_____________________________
Signature of Guardian Over Printed
Name/Date
______________________________
Relationship with the Learner
Address: Scout Ybardolaza St. Diliman, Quezon City
Telephone No. (02) 926-6875 School ID: 305359
Email Address: quazo1947@[Link]