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2020-Parents-Consent-revised-2

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Aristotle Tomas
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13 views

2020-Parents-Consent-revised-2

Uploaded by

Aristotle Tomas
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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Revised as of September 26, 2019

Republic of the Philippines


DEPARTMENT OF EDUCATION
Cordillera Administrative Region
(Region)
Mountain Province
(Division)
Bagnen Elementary School
(School)
Bagnen Proper, Bauko, Mountain Prov.
(School Address)

November 4, 2019
Date

PARENTAL CONSENT

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


my/our son/daughter JOHN III W. LIBONGEN in the Provincial Meet 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.

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

Verified:

GRAIL B. AYNGAN
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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