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NLC - Regisstration Template

The document consists of two annexes: a Learning Camp Registration Template and a Parent/Legal Guardian Consent Form. The registration template collects essential information about the student, their guardian, and academic details, while the consent form grants permission for the student's participation in the Learning Camp scheduled from July 1 to July 19, 2024. Parents acknowledge the benefits of participation and release the Department of Education from liability for unforeseen incidents.

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elannie.espanola
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10 views3 pages

NLC - Regisstration Template

The document consists of two annexes: a Learning Camp Registration Template and a Parent/Legal Guardian Consent Form. The registration template collects essential information about the student, their guardian, and academic details, while the consent form grants permission for the student's participation in the Learning Camp scheduled from July 1 to July 19, 2024. Parents acknowledge the benefits of participation and release the Department of Education from liability for unforeseen incidents.

Uploaded by

elannie.espanola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Annex 1: THE LEARNING CAMP REGISTRATION TEMPLATE

Name: ______________________________________________________________
Grade Level: _________________________________________________________
Section: _____________________________________________________________
Age: ________________________________________________________________
Residential Address: ___________________________________________________
Parent/Guardian: _____________________________________________________
Name: _____________________________________________________
Contact Number: _____________________________________________

---------------------------------------------------------------------
To be filled out by the Teacher Adviser:

Most Recent Grade in:


English: _____________________
Science: ____________________
Mathematics: _________________
Teacher Adviser in the Currently enrolled Grade Level:
Name: ____________________
Contact Number: ___________
School: ________________________________
School ID: ______________________________
District: ________________________________
Division: _______________________________
Annex 2. Parent/Legal Guardian Consent Form

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region VI – Western Visayas
Division of Antique
LIRIO M. ESCAÑO NATIONAL HIGH SCHOOL
Carit-an, Patnongon, Antique

________________
Date

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ____________________________ in the Learning Camp from July 1, 2024 to
July 19, 2024.

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 Signature of Mother over
Printed name / Date Printed name / Date

_______________________________________
Signature of Guardian over Printed name / Date

______________________________
Relationship with the Learner

Verified by: _______________________________ Date: _________________


Class Adviser

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