Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
DIVISION OF GENERAL TRIAS CITY
LUIS Y. FERRER JR. WEST NATIONAL HIGH SCHOOL

Date: _______________________

To whom it may concern,

I, __________________________, allow my child, _______________________________________ a grade 10 student from section _______________ to attend
on the scheduled Moving- up pictorial on June _____, 2021 Time:__________ at D’CURE LAB in LYFJWNHS.
As a legal guardian, I affirm that my child and I have been completely informed about the IATF Health and Safety protocols implemented inside the school
premises and we commit to abide by these protocols.

I understand that any untoward incident resulting from our failure to comply with the school protocols will not be a liability of the school.

To mark my delight in my child’s milestone, I would like to order the Moving up photo package:

Package A: 1 pc. A4 size + 1 pc. 4R (both formal shot)- P 100.00

Package B: 1 pc. A4 size + 2 pc. 4R (formal shot, creative shot)- P 120.00

Truly yours,

_______________________________
Signature over printed name of guardian
Contact number:

Pasong Kawayan II, General Trias City, Cavite / 09177146495 / lyfjwnhs.wixite.com/schoolsite / luisferrer.west@gmail.com