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    F9 2020 Parents Consent Revised 2 1

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    F9 2020 Parents Consent Revised 2 1

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    F9 2020 Parents Consent Revised 2 1

    Uploaded by

    lesterrodriguez77777
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    © All Rights Reserved
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    Revised as of September 26,

    2019 Republic of the Philippines


    DEPARTMENT OF EDUCATION
    IX
    (Region)
    ZAMBOANGA DEL NORTE
    (Division)
    IMELDA ELEMENTARY SCHOOL
    (School)
    IMELDA, LABASON, ZAMBOANGA DEL NORTE
    (School Address)

    March 01, 2023


    Date

    PARENTAL CONSENT

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


    my/our son/daughter ___________________ in ATHLETICS 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.

    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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