Republic of the Philippines

DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental

___February 5, 2020___
Date

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________ JUSTINE CARL VICTORAMA___________ in the
Division Damath at Salay National High School.

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 Participant)

Verified by :

_____LYNDIE V. BUANGIN_____ ______BELEN G. ZAPORTIZA_____

Teacher-Adviser Secondary School Principal I

Remarks:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental

___September 17, 2018___

Date

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________ ELAIZABELL C. LEGASPI __________ in the Division,
Regional Meet and Palarong Pambansa.

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

THITO Z. LEGASPI
Name of Father Name of Mother

HELEN T. SALDUA
Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

_____MICHELLE P. EDOROT_____ ______PURA G. VILLAR_____

Teacher-Adviser School Head/Registrar

Remarks:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental

___September 17, 2018___

Date

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________ PINKIE C. LARONGCO __________ in the Division,
Regional Meet and Palarong Pambansa.

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

ANALIZA L. NATINGA
Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

_____GENEVIL U. LIMBAGA_____ ______PURA G. VILLAR_____

Teacher-Adviser School Head/Registrar

Remarks:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental

___September 17, 2018___

Date

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________ JOEY H. SUJETADO __________ in the Division,
Regional Meet and Palarong Pambansa.

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

GERTRUDES H. SUJETADO
Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

_____ROVEL P. ORA_____ ______PURA G. VILLAR_____

Teacher-Adviser School Head/Registrar

Remarks:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental

___September 17, 2018___

Date

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter __________ JOHN PATRICK C. SABELLINA __________ in the
Division, Regional Meet and Palarong Pambansa.

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

ARIEL A. SABELLINA CORAZON C. SABELLINA

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

_____LIBERTY A. ABASTAS_____ ______PURA G. VILLAR_____

Teacher-Adviser School Head/Registrar

Remarks:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X
Division of Misamis Oriental
Balingasag South District
ROSARIO NATIONAL HIGH SCHOOL
Rosario, Balingasag, Misamis Oriental