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2020 Parents Consent Revised 2

This document is a parental consent form for a student named _______________________________ to participate in school sports meets up to the Palarong Pambansa. 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 in accordance with data privacy laws. The form is signed by the father, mother, student adviser, and school head.

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33 views

2020 Parents Consent Revised 2

This document is a parental consent form for a student named _______________________________ to participate in school sports meets up to the Palarong Pambansa. 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 in accordance with data privacy laws. The form is signed by the father, mother, student adviser, and school head.

Uploaded by

ryan ramos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019

Republic of the Philippines


DEPARTMENT OF EDUCATION
______________VII______________
(Region)
________BAYAWAN CITY_______
(Division)
_____SAN JOSE HIGH SCHOOL_____
(School)
SAN JOSE, BAYAWAN CITY, NEGROS ORIENTAL
(School Address)

___________________
Date

PARENTAL 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

Verified:

ROBELYN L. CAGUD
Adviser School Head/Registrar
(Signature Over Printed Name) (Signature Over Printed Name)

Remarks:

Note:
Submit the necessary documents, i.e. Affidavit/Sworn Statement of Actual Care and Custody
duly verified by the adviser and school head, in cases signature of parents are unavailable.

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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