Parent Consent Learning Camp

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Republic of the Philippines

Department of Education
REGION IV-A
CITY SCHOOLS DIVISION OF BACOOR
ANIBAN CENTRAL SCHOOL
Aniban II, Bacoor City, Cavite

____________________________
DATE

PARENTAL /LEGAL GUARDIAN CONSENT

I/We hereby willingly and voluntarily give consent the participation of


my/our son/daughter ________________________________ in the Learning Camp
from __________________________.

I have considered the benefits that my son or daughter will derive 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. DepED
employees and personnel may not be held responsible for any untoward incident
that may happen beyond their control.

Signature of Father over Signature of Mother over Printed


Printed Printed Name and Date
Printed Name and Date

Signature of Guardian over Printed


name

(Relationship with the Learner)

Verified by:

_________________________ Date:_______________________

Address: Aniban II, City of Bacoor, Cavite


School ID: 107877
Telephone Number: (046) 432-1395
E-mail Address: [email protected]
Republic of the Philippines
Department of Education
REGION IV-A
CITY SCHOOLS DIVISION OF BACOOR
ANIBAN CENTRAL SCHOOL
Aniban II, Bacoor City, Cavite

Teacher – Adviser

Address: Aniban II, City of Bacoor, Cavite


School ID: 107877
Telephone Number: (046) 432-1395
E-mail Address: [email protected]

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