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    Consent

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    JERIC APORBO

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    © All Rights Reserved
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    Consent

    Uploaded by

    JERIC APORBO
    3 views2 pages

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    consent

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    3 views2 pages

    Consent

    Uploaded by

    JERIC APORBO

    Copyright:

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

    Department of Education
    REGION XIII, CARAGA
    (Region)
    SURIGAO DEL SUR
    (Division)
    ANTONIO A. OROZCO ELEMENTARY SCHOOL
    (School)
    SITIO TAMSIAN, PAGTILAAN, LINGIG, SURIGAO DEL SUR
    (School Address)

    PARENTAL CONSENT
    Date:

    To Whom It May Concern:

    I/We hereby willingly and voluntarily give consent to the participation of my/
    our son/daughter
    in 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.

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