Department of Education

Region ___
Division of __________
(Name of School)
(Address of School)

PARENT’S/GUARDIAN’S PERMIT

TO WHOM IT MAY CONCERN:

We, _______________________________ and__ ____________________________ of legal age, residing

at__________________, do hereby grant permission to our child/ward______________________________________ to
join in the ________________________on _______________at _______________________________________
sponsored by _________________________________.

Considering the benefits that will derived from participation in such activities in such activities for the best
interest of the child/ward, we voluntarily waive any claim against coach/chaperon/trainer or organizer and all
authorities’ in charge of any untoward incident beyond their control in the course of his/her participation after all
precautionary measures have been taken by the persons in charge.

Done in____________________________, this _______day of _________,2019

_______________________________________ ___________________________________
Signature of Mother/ Guardian Signature of Father/ Guardian

CERTIFIED: (As to Authenticity of Parent’s/ Guardian’s Signature)

______________________
In-charge

Department of Education
Region ___
Division of __________
(Name of School)
(Address of Schhol)

PARENT’S/GUARDIAN’S PERMIT

TO WHOM IT MAY CONCERN:

We, _______________________________ and__ ____________________________ of legal age, residing

at__________________, do hereby grant permission to our child/ward______________________________________ to
join in the ________________________on _______________at _______________________________________
sponsored by _________________________________.

Considering the benefits that will derived from participation in such activities in such activities for the best
interest of the child/ward, we voluntarily waive any claim against coach/chaperon/trainer or organizer and all
authorities’ in charge of any untoward incident beyond their control in the course of his/her participation after all
precautionary measures have been taken by the persons in charge.

Done in____________________________, this _______day of _________,2019

_______________________________________ ___________________________________
Signature of Mother/ Guardian Signature of Father/ Guardian

CERTIFIED: (As to Authenticity of Parent’s/ Guardian’s Signature)

______________________
In-charge