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    4.D. Parents Consent

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    Joseph Dominic L. Lagulos
    This parental consent form allows a student named ______________________ to participate in the ____________________ competition for school sports meets up to the Palarong Pambansa national games. The parents agree to this activity and authorize the collection of the student's personal information according to the Data Privacy Act of 2012. The form must be signed by parents and verified by an adviser and school head or registrar. Alternately, an affidavit of custody can be submitted if parents' signatures are unavailable.

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    4.D. Parents Consent

    Uploaded by

    Joseph Dominic L. Lagulos
    106 views3 pages
    This parental consent form allows a student named ______________________ to participate in the ____________________ competition for school sports meets up to the Palarong Pambansa national games. The parents agree to this activity and authorize the collection of the student's personal information according to the Data Privacy Act of 2012. The form must be signed by parents and verified by an adviser and school head or registrar. Alternately, an affidavit of custody can be submitted if parents' signatures are unavailable.

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    This parental consent form allows a student named ______________________ to participate in the ____________________ competition for school sports meets up to the Palarong Pambansa national games. The parents agree to this activity and authorize the collection of the student's personal information according to the Data Privacy Act of 2012. The form must be signed by parents and verified by an adviser and school head or registrar. Alternately, an affidavit of custody can be submitted if parents' signatures are unavailable.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    106 views3 pages

    4.D. Parents Consent

    Uploaded by

    Joseph Dominic L. Lagulos
    This parental consent form allows a student named ______________________ to participate in the ____________________ competition for school sports meets up to the Palarong Pambansa national games. The parents agree to this activity and authorize the collection of the student's personal information according to the Data Privacy Act of 2012. The form must be signed by parents and verified by an adviser and school head or registrar. Alternately, an affidavit of custody can be submitted if parents' signatures are unavailable.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    Region X
    Misamis Occidental Division
    Don Victoriano District
    Lampasan Integrated School
    Lampasan, Don Victoriano, Misamis Occidental

    _______________

    PARENTAL CONSENT

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


    my/our son/daughter ______________________ in ____________________
    COMPETITION 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:

    Adviser School Head/Registrar


    (Signature Over Printed Name) (Signature Over Printed Name)

    Remarks:

    Revised as of September 26, 2019

    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)


    Republic of the Philippines
    DEPARTMENT OF EDUCATION
    Region X
    Misamis Occidental Division
    Don Victoriano District
    Lampasan Integrated School
    Lampasan, Don Victoriano, Misamis Occidental
    _______________

    PARENTAL CONSENT
    I/We hereby willingly and voluntarily give consent to the participation of
    my/our son/daughter ______________________ in ____________________
    COMPETITION 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:

    Adviser School Head/Registrar


    (Signature Over Printed Name) (Signature Over Printed Name)

    Remarks:

    Revised as of September 26, 2019

    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)


    Republic of the Philippines
    DEPARTMENT OF EDUCATION
    Region X
    Misamis Occidental Division
    Don Victoriano District
    Lampasan Integrated School
    Lampasan, Don Victoriano, Misamis Occidental
    _______________

    PARENTAL CONSENT

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


    my/our son/daughter ______________________ in ____________________
    COMPETITION 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:

    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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