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3 Parents - Consent

This document is a parental consent form for a student from Canitoan Elementary School in Cagayan de Oro City, Philippines to participate in school sports meets up to the Palarong Pambansa (National Games). The form provides consent for the student's participation, acknowledges potential benefits, and authorizes the Department of Education to process personal information in accordance with data privacy laws. It must be signed by the student's father and mother, verified by an adviser and school head. Alternate documentation is required if a parent's signature is unavailable.

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

3 Parents - Consent

This document is a parental consent form for a student from Canitoan Elementary School in Cagayan de Oro City, Philippines to participate in school sports meets up to the Palarong Pambansa (National Games). The form provides consent for the student's participation, acknowledges potential benefits, and authorizes the Department of Education to process personal information in accordance with data privacy laws. It must be signed by the student's father and mother, verified by an adviser and school head. Alternate documentation is required if a parent's signature is unavailable.

Uploaded by

roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Revised as of September 26,

2019 Republic of the Philippines


DEPARTMENT OF EDUCATION
________________________
Region X
(Region)
______________________________
Division of Cagayan de Oro City
(Division)
CANITOAN ELEMENTARY SCHOOL
(School)
CANITOAN, CDO
(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:

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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