2020 - Parents Consent - Revised-2

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Revised as of September 26,

2019 Republic of the Philippines


DEPARTMENT OF EDUCATION
IV A CALABARZON
(Region)
LAGUNA
(Division)
MAGDALENA INTEGRATED NATIONAL HIGH SCHOOL
(School)
MAGDALENA, LAGUNA
(School Address)

_____________________
Date

PARENTAL CONSENT

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


my/our son/daughter KURT ASHTON T. BAUTISTA in BILLIARD
SECONDARY BOYS/GIRLS 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:

ARTHUR ROBERT P.
LIMONGCO
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)


Republic of the Philippines
DEPARTMENT OF EDUCATION
Revised as of September 26, IV A CALABARZON
2019 (Region)
LAGUNA
(Division)
MAGDALENA INTEGRATED NATIONAL HIGH SCHOOL
(School)
MAGDALENA, LAGUNA
(School Address)

FEBRUARY 17, 2023


Date

PARENTAL CONSENT

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


my/our son/daughter EON KENNETH P. PENAFIEL in TENNIS
SECONDARY BOYS 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.

JE-R PENAFIEL LIEZL P. PENAFIEL


Signature of Father Over Printed Name Signature of Mother Over Printed Name

Verified:

SARAH JANE R. DE LUNA


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)


Republic of the Philippines
DEPARTMENT OF EDUCATION
IV A CALABARZON
Revised as of September 26,
(Region)
2019 LAGUNA
(Division)
MAGDALENA INTEGRATED NATIONAL HIGH SCHOOL
(School)
MAGDALENA, LAGUNA
(School Address)

FEBRUARY 17, 2023


Date

PARENTAL CONSENT

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


my/our son/daughter PATRICIO R. ANDRADE III in TENNIS SECONDARY
BOYS 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.

PATRICIO B. ANDRADE JR. DONNA MAE M. RANES


Signature of Father Over Printed Name Signature of Mother Over Printed Name

Verified:

SARAH JANE R. DE LUNA


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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