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Republic of the Philippines

Department of Education
Region I
Schools Division of Ilocos Norte
PAOAY LAKE NATIONAL HIGH SCHOOL
Paoay, Ilocos Norte

PARENT/GUARDIAN’S PERMIT & WAIVER

This is to certify that I am giving full consent and approval for my son/daughter
_______________________________to attend/participate in the Joint Delivery Voucher program for TVL
(Child’s Name)
Specialization training to be conducted at Primacare Laoag, Laoag City starting on, _____________________,
__________, ____________ until _____________________, __________, ____________.
I have carefully considered the benefits that my son/daughter shall derive from such training. I am aware
that they will do all necessary health and safety precautions to safeguard my son/daughter. However, if despite
all the effort taken, any untoward incidents beyond their control occur, the faculty and staff of Paoay Lake
National High School as well as the partner school will not hold any liability.

____________________________________ _____________________________________
Parent/Guardian Student’s Signature

Republic of the Philippines


Department of Education
Region I
Schools Division of Ilocos Norte
PAOAY LAKE NATIONAL HIGH SCHOOL
Paoay, Ilocos Norte

PARENT/GUARDIAN’S PERMIT & WAIVER

This is to certify that I am giving full consent and approval for my son/daughter
_______________________________to attend/participate in the Joint Delivery Voucher program for TVL
(Child’s Name)
Specialization training to be conducted at Primacare Laoag, Laoag City starting on, _____________________,
__________, ____________ until _____________________, __________, ____________.
I have carefully considered the benefits that my son/daughter shall derive from such training. I am aware
that they will do all necessary health and safety precautions to safeguard my son/daughter. However, if despite
all the effort taken, any untoward incidents beyond their control occur, the faculty and staff of Paoay Lake
National High School as well as the partner school will not hold any liability.

____________________________________ _____________________________________
Parent/Guardian Student’s Signature

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