Parental Consent

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Republic of the Philippines

Department of Education
SCHOOLS DIVISION OFFICE OF DAVAO DEL NORTE
Region XI
CARMEN DISTRICT
TABA ELEMENTARY SCHOOL

PARENT CONSENT FORM

This is to inform you that consent to the attendance and participation of your daughter VILLARUBIA,
KENDRA D. at the 2-Day Joint School-based BSP & GSP to be held at Taba Elementary School ground on
November 23-24, 2024.

Please complete and sign the form below to indicate your consent for your child to participate in this
event.

Participant Information

Child’s Name: _____________________________________


Grade/Section: _____________________________________
School: ___________________________________________

Parent/Guardian Information
Parent/Guardian Name: ______________________________
Contact Number: ___________________________________
Emergency Contact (if different): _______________________

CONSENT AND ACKNOWLEDGMENT

1. I, the undersigned, consent to my child’s participation in the BSP and GSP activity on November 23-
24, 2024.
2. I understand that the organizers will take every reasonable precaution for the safety of all
participants.
3. In case of any medical emergency, I authorize the organizers and medical staff to administer
necessary medical treatment to my child.
4. I understand that the barangay council will assist with peace and order maintenance and that medical
personnel will be on-site during the event.
5. I have considered the benefits that my son/daughter will derive from his participation in this activity
with the understanding that every precaution is to be taken to ensure his safety in camp.

Signature of Parent/Guardian: ______________________________

Date: _________________________________

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