Department of Education

Region X – Northern Mindanao

DIVISION OF OROQUIETA CITY
OROQUIETA CITY NATIONAL HIGH SCHOOL- VILLAFLOR CAMPUS
Villaflor, Oroquieta City

CERTIFICATE OF PARENTAL CONSENT

We the undersigned parents/guardian of ____________________________________ hereby give full and

unqualified consent for him/her to participate in the ________________________________________.
In particular, we grant him/her permission to travel and participate in the __________________________ to be
held on ______________________.
Considering the benefits that our child will derive from his/her participation in the
_________________________, we shall not hold the sponsoring institution liable for any untoward incident that may
befall to our child beyond the control of the sponsors.

__________________________________ __________________________________
(Name and Signature of Father/Guardian) (Name and Signature of Mother/Guardian)

Address: _____________________________________________
Date permission granted: ________________________________

ATTESTED:

REY JESUS C. PALER

School Principal I
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Department of Education
Region X – Northern Mindanao
DIVISION OF OROQUIETA CITY
OROQUIETA CITY NATIONAL HIGH SCHOOL- VILLAFLOR CAMPUS
Villaflor, Oroquieta City
Cellphone Number: +63909-763-0424

CERTIFICATE OF PARENTAL CONSENT

We the undersigned parents/guardian of ____________________________________ hereby give full and

unqualified consent for him/her to participate in the ________________________________________.
In particular, we grant him/her permission to travel and participate in the __________________________ to be
held on ______________________.
Considering the benefits that our child will derive from his/her participation in the
_________________________, we shall not hold the sponsoring institution liable for any untoward incident that may
befall to our child beyond the control of the sponsors.

__________________________________ __________________________________
(Name and Signature of Father/Guardian) (Name and Signature of Father/Guardian)

Address: _____________________________________________
Date permission granted: ________________________________

ATTESTED:

REY JESUS C. PALER

School Principal I
 Department of Education
Region X – Northern Mindanao
DIVISION OF OROQUIETA CITY
OROQUIETA CITY NATIONAL HIGH SCHOOL- VILLAFLOR CAMPUS
Villaflor, Oroquieta City