DEPARTMENT OF EDUCATION

REGION X, NORTHERN MINDANAO

Division of Misamis Occidental

SAPANG DALAGA NATIONAL HIGH SCHOOL

Sapang Dalaga, Misamis Occidental

June 25, 2018

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________________________________________ in the 2018 Provincial Meet
2018 this coming June 28-29, 2018 at Aloran, Misamis Occidental.

I have considered the benefits that my son or 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 of Father Signature of Mother

________________________________ ________________________________
Name of Father Name of Mother

____________________________________________
Signature of Guardian over Printed Name

______________________________
(Relationship with the Athlete)

Verified by:

___________________________________________
Teacher-Adviser / School Head / Registrar

Remarks: