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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