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San Felipe Elementary School: Department of Education

The document is a parent's consent form for a student named _____________________________ to participate in _______________ school sports meets up to the Palarong Pambansa (National Games). The parents give consent and acknowledge the benefits to their child from participating provided due care is taken for their health and safety. They also authorize the Department of Education to collect and process personal information of the student athlete according to the Data Privacy Act of 2012. The form must be signed by the father, mother and guardian if applicable, and countersigned by the school head and adviser.

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0% found this document useful (0 votes)
741 views

San Felipe Elementary School: Department of Education

The document is a parent's consent form for a student named _____________________________ to participate in _______________ school sports meets up to the Palarong Pambansa (National Games). The parents give consent and acknowledge the benefits to their child from participating provided due care is taken for their health and safety. They also authorize the Department of Education to collect and process personal information of the student athlete according to the Data Privacy Act of 2012. The form must be signed by the father, mother and guardian if applicable, and countersigned by the school head and adviser.

Uploaded by

JoeyAndal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION IV-A CALABARZON
DIVISION OF BATANGAS
SAN FELIPE ELEMENTARY SCHOOL
SAN FELIPE, PADRE GARCIA, BATANGAS

_____________________
Date

PARENT’S CONSENT

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


my/our son/daughter _____________________________ in _______________
in all School Sports Meets up to the Palarong Pambansa.

I/We have considered the benefits that my son or daughter will derive from
his/her participation in this activity provided that due care, diligence and
necessary precautions will be observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to


collect, process, retain, and dispose of personal information of the above-
mentioned athlete in accordance with the Data Privacy Act of 2012.

Signature of Father Over Printed Name Signature of Mother Over Printed Name

Signature of Guardian over Printed Name

(Relationship with the Athlete)

JOEY B. ANDAL
Adviser School Head/Registrar
(Signature Over Printed Name) (Signature Over Printed Name)

Remarks:

Note:
If No Parent/s, submit Affidavit of Guardianship duly verified by the coach and teacher.
If parents are abroad, Special Power of Attorney (SPA) is needed.

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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