Republic of the Philippines
DEPARTMENT OF EDUCATION
Negros Island Region
Schools Division of Canlaon
Jose B. Cardenas Memorial High School
Exodus Avenue, Brgy. Panubigan, Canlaon City
Date: August 25, 2025
P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter
_____________________________________________________ to attend the Booth Preparation for the
upcoming Pista sa Nayon at Jose B. Cardenas Memorial High School, Panubigan, Canlaon City, Negros Oriental
this coming August 25, 2025, 9:00 am -4:00 pm.
I understand that the event will be held inside the school premises and acknowledge that proper supervision and care
will be provided during the two-day rehearsal. I trust that all safety protocols and guidelines will be observed to
ensure my child’s well-being and that DepED employees and teachers may not be held responsible for any untoward
incident that may happen beyond their control.
Signature of Father Signature of Mother
Name of Father Name of Mother
______________________________________________
Signature of Guardian over Printed name
(Relationship with the Child)
Verified by:
__________________________________________________
Teacher-Adviser/School Head/Registrar