PARENTAL CONSENT FORM FOR TEST TAKERS

TO WHOM THIS MAY CONCERN:

This is to giveJcounsesnt tto miy cnhiled Reine M. Goenrrolloed sat

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R pajaeSoliman
Science and Technology High School, Division of City Schools, Manila, for the School Year 2021- 2022, to
take the Midyear Learning Assurance for Monitoring and Progress ( LAMP) Assessment. Please put a
check on the box that corresponds to your answer.

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Grode level: Access lo Assessment:

Grode l0 Online
Grode 12 Printed

Ma. Rona M. Signature Over Printed Name