Republic of the Philippinesw

Department of Education
Caraga Administrative Region
AGUSAN DEL SUR NATIONAL HIGH SCHOOL
Operating Unit (Empowered School)
Fax # 085-343-9303
Website: www.asnhs.webs.com
School ID: 304703

PARENT’S/GUARDIAN’S CONSENT

I/We hereby willingly and voluntarily give consent to our son/daughter

______________________________ of Grade 12-Leibniz to watch PASUNDAYAG 2017 this coming
December 15, 2017, Friday, at 8:00 am to 12:00 noon at ASNHS Covered Court.

I/We have considered the benefits that my son/ daughter will derive from his/ her watching this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that Dep.Ed. employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

___________________________ ______________________________
FATHER MOTHER

Noted:
TEODORO N. PLAZA, Ed.D
Principal IV

Republic of the Philippines

Department of Education
Caraga Administrative Region
AGUSAN DEL SUR NATIONAL HIGH SCHOOL
Operating Unit (Empowered School)
Fax # 085-343-9303
Website: www.asnhs.webs.com
School ID: 304703

PARENT’S/GUARDIAN’S CONSENT

I/We hereby willingly and voluntarily give consent to our son/daughter

______________________________ of Grade 12-Leibniz to watch PASUNDAYAG 2017 this coming
December 15, 2017, Friday, at 8:00 am to 12:00 noon at ASNHS Covered Court..

I/We have considered the benefits that my son/ daughter will derive from his/ her watching this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that Dep.Ed. employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

___________________________ ______________________________
FATHER MOTHER

Noted:
TEODORO N. PLAZA, Ed.D
Principal IV