Palaro 2009 Parental Consent Form

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TFSS Form No.

004 PC

Republic of the Philippines


Department of Education
______________________
(Region)
______________________________
(Division)

P A R E N TA L C O N S E N T

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


my
son/daughter _____________________________________ in the Lower meets up to
Palarong Pambansa to be held at _________________________ on _______________

I have considered the benefits that my son/daughter will derive from


his/her
participation in this activity with the understanding that due care and precaution
will be
observed to ensure the comfort and safety of the delegation and that DepEd
employees
and personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature


of Mother

Name of Father Name of


Mother

Signature of Guardian over Printed name

(Relationship with Athlete)

Verified by:

Teacher-Adviser
Principal/School Head

Any mark or alteration of any entry invalidates the document

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