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Parental Consent

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Manuel Paulo Acogido
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22 views1 page

Parental Consent

Uploaded by

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

Department of Education
Region V
TABACO NATIONAL HIGH SCHOOL
Tabaco City

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to my son /


daughter

__________________________________________, 12 STEM _______


Complete Name (LN, FN, MI) Grade/Track/Strand/Section

to participate in the Work Immersion from _____________________ to


Start Date
___________________________, _____________ until __________________ ,
End Date Start Time End time
at ________________________________________________________________________.
Name of Work Immersion Partner

I / We have considered the benefits that my son / daughter will gain


from this Work Immersion, provided that due care and precautions will be
observed to ensure my / our child’s security and safety that no DepEd
Teacher / personnel nor partner agencies / establishment shall be held
responsible for any untoward incident that may happen beyond their
control. Furthermore, I am aware of the basic requirement that my child
shall strictly follow the minimum health protocols all throughout the work
immersion period.

Signed this ______ day of ____________, 2024 for Work Immersion


purposes.

_____________________________ ______________________________
Signature of Father Over Printed Name Signature of Mother Over Printed
Name
Contact Number: _________________ Contact Number: __________________

___________________________________
Signature of Guardian Over Printed Name
Contact Number: __________________

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