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Republic of the Philippines

DEPARTMENT OF EDUCATION
Division of Davao Occidental
Region XI

EMELIANO S. FONTANARES SR. NATIONAL HIGH SCHOOL


Sitio Kibatang, Brgy. Sugal, Jose Abad Santos, Davao Occidental

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter

BALDERA, VINCENT JOHN SUMONDONG on September 4-5, 2019 the DISTRICT JAS 1 and JAS 2

BASKETBALL COMPETITION held at Jose Abad Santos Central Elementary School, Jose Abad

Santos, Davao Occidental.

I have considered the benefits that my son/daughter will derive 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 over Printed Name of the Father Signature over Printed Name of the Mother

Date: _____________________________ Date: ______________________________

Signature over Printed Name of the Guardian

Date: ________________________________

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