Republic of the Philippines

DEPARTMENT OF EDUCATION
Cordillera Administrative Region
Schools Division of Benguet
LEPANTO NATIONAL HIGHSCHOOL
Paco, Mankayan, Benguet

Date:_____ September 25, 2019_______

PARENT’S CONSENT

We, (Mr., Mrs.) _______________________________________________, legal parent/guardian of

______________CAMILLE DELOS REYES____________________________, hereby give our full consent to our
son/daughter to assist on the Scout Officials For A Day(SOFAD) Screening on September 26-28, 2019 at Baley ni
Girl Scout, La Trinidad, Benguet provided that he/she will be accompanied by an adviser who will see to the safety,
behavior and physical well-being of our child as far as humanely possible. We will not hold the adviser or any school
authority responsible for whatever untoward incident that may happen befall our child beyond the adviser’s or school
authority’s control.

_______________________________ ________________________________
Name and Signature of Father Name and Signature of Mother

____ CAROLINE C. FERRER_____

Name and Signature of Teacher