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Parents Consent Sample

This document is a parental consent form for the participation of Grazel Mae A. Salindo in athletics at New Antique Elementary School, allowing her to compete in all school sports meets up to the Palarong Pambansa. The parents acknowledge the benefits of participation and authorize the Department of Education to handle their child's personal information in compliance with the Data Privacy Act of 2012. It also includes a note regarding the submission of necessary documents if parental signatures are unavailable.

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4 views

Parents Consent Sample

This document is a parental consent form for the participation of Grazel Mae A. Salindo in athletics at New Antique Elementary School, allowing her to compete in all school sports meets up to the Palarong Pambansa. The parents acknowledge the benefits of participation and authorize the Department of Education to handle their child's personal information in compliance with the Data Privacy Act of 2012. It also includes a note regarding the submission of necessary documents if parental signatures are unavailable.

Uploaded by

marrygrace.abonales
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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Revised as of September 26,

2019 Republic of the Philippines


DEPARTMENT OF EDUCATION
_____Region IX_______
(Region)
______Zamboanga Sibugay_____
(Division)
__New Antique Elementary School__
(School)
__New Antique, R. T. Lim, Zamboanga Sibugay__
(School Address)

DECEMBER 02, 2024


Date

PARENTAL CONSENT

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


my/our son/daughter GRAZEL MAE A. SALINDO in Athletics 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:

JECIEBEL F. FUERZAS NOEL G. EMBATE


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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