Larong Pambansa Form
Larong Pambansa Form
Larong Pambansa Form
DEPARTMENT OF EDUCATION
1
(Region)
SCHOOL DIVISION OFFICE 1 PANGASINAN
(Division)
LABRADOR NATIONA HIGH SCHOOL
(School)
POBLACION, LABRADOR, PANGASINAN
(School Address)
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
GERSALIA, JOHN LEANARD F. in BADMINTON BOYS-SECONDARY the Division,
Regional Meet and 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 and precaution 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.
Remarks :
Note: Submit the necessary documents, i.e. Affidavit/Swom Statement of Actual Care and Custody
duly verified by the adviser and school head, in cases signature of parents are unavailable.