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2020-Parents-Consent-revised-2

This document is a parental consent form for a child's participation in the Palarong Pambansa, issued by Tagabakid Elementary School in Mati City, Philippines. Parents acknowledge the benefits of participation and authorize the Department of Education to handle personal information in compliance with the Data Privacy Act of 2012. The form requires signatures from both parents and verification from school officials, along with a note regarding submission of additional documents if parental signatures are unavailable.

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Zainab M. Kabirun
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3 views

2020-Parents-Consent-revised-2

This document is a parental consent form for a child's participation in the Palarong Pambansa, issued by Tagabakid Elementary School in Mati City, Philippines. Parents acknowledge the benefits of participation and authorize the Department of Education to handle personal information in compliance with the Data Privacy Act of 2012. The form requires signatures from both parents and verification from school officials, along with a note regarding submission of additional documents if parental signatures are unavailable.

Uploaded by

Zainab M. Kabirun
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
XI
(Region)
CITY OF MATI
(Division)
TAGABAKID ELEMENTARY SCHOOL
(School)
Brgy,TAGABAKID , MATI CITY
(School Address)

_____________________
Date

PARENTAL CONSENT

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


my/our son/daughter ___________________________________in ________
MEET 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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