Annex 2 - Parent-Legal Guardian Consent Form (1)

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Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
SCHOOLS DIVISION OF ZAMBOANGA DEL SUR

Annex 2. Parent/Legal Guardian Consent Form

(Region)

(Division)

(School)

(School Address)

Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the


participation of my/our son/daughter (name of learner)
in the National Learning Camp from July 2 to 4, 9 to 11, and 16 to 18,
2024.

I have considered the benefits that my son/daughter will get from


his/her participation in this activity provided that due care and precaution
will be observed to ensure the comfort and safety of my son/daughter and
that DepEd employees and personnel may not be held responsible for any
untoward incident that may happen beyond their control.

Signature of Father over Signature of Mother over


Printed Name/Date Printed Name/Date

Signature of Guardian over


Printed Name/Date

Relationship with the Learner

Verified By:

Date:
Teacher
Note: If No Parent/s, submit an Affidavit of Guardianship duly verified by the
teacher.

Provincial Government Center, Dao, Pagadian


City
(062) 214 – 1991
depedzambosur@gmail.com 1|1
www.suresasur.net

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