Parental Consent

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
CONCEPCION WEST DISTRICT
SAN FRANCISCO ELEMENTARY SCHOOL

PARENTAL CONSENT AND WAIVER FORM

TO WHOM IT MAY CONCERN:

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


son/daughter Joeliane Aideen Masana to attend in the contest activities of the
Municipal School Press Conference at Sta. Monica Elementary School on December 6,
2024.
I/We have considered the benefits that my son/daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed by
the implementers/coaches to ensure the comfort and safety of my son/daughter and
that the school, district, or division, may not be held responsible for any untoward
incident that may happen beyond their control.
I have provided complete and correct information on this form. By signing this
form, I confirm that I have fully informed myself of the contents of this Parental
Consent and Waiver Form by reading it before I signed it.
This consent is signed this day of ,
2024.

________________________________________________ _________________________________________________
_ Parent
Parent Signature Over Printed Name
Signature Over Printed Name

GIRLIE P. PINEDA/ JOVITA F. ZABLAN CHRISTOPHER Q. BERMUDO


________________________________________________ _________________________________________________
_ School Head
School Paper Adviser/Teacher-Coach Signature Over Printed Name
Signature Over Printed Name
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
CONCEPCION WEST DISTRICT
SAN FRANCISCO ELEMENTARY SCHOOL

You might also like