Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OFFICE OF MAKATI CITY
BANGKAL HIGH SCHOOL

CONSENT FORM

Name of Student:

Grade & Section:

Name of Parent/Guardian:

I hereby give my consent to Bangkal High School and the designated teachers of my
child/ward to:

1. Conduct online interaction through whatever social media platforms with my

child/ward for any distance learning activities;

2. Require/request my child to open his/her video camera always during the

entire duration of the online class;

3. Ask permission from his/her teacher to close for the meantime his/her video
camera if it experiences weak data/signal that affects my child online class;

4. Keep a record of online interaction with my child/ward, whenever recording is

made;

5. Take snapshots/images/videos which may include my child’s/ward’s image for

documentation and other lawful purposes;

6. Post in the official school social media page/web page/per section FB

Messenger the image, name, and section of my child/ward, as well as any
acknowledgment/awards that he/she is entitled and Completion Ceremony for
Grade 10.

7. Stay permanently in online classes from the beginning of the class until the last
school day of the school year, unless unavoidable circumstances may arise that
render my child to continue his/her online class.

8. Submit the weekly module output/ activities, and performances through

whatever social media platforms needed for any distance learning in the period
the teacher requires them to submit;

9. Accomplish online Unified Summative Assessments (Written and Performance

Tasks) on or before the deadline, after which late responses will not be
accepted.

10.Other similar processing of information of my child/ward for any activities

sanctioned by DepEd.

_____________________________________________________________________________________
Address : Gen. Malvar cor. Apolinario Sts. Brgy. Bangkal Makati City
Telephone Number : 8844-09-97
Electronic Address : bangkal_hs@yahoo.com / 320002@deped.gov.ph
 Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OFFICE OF MAKATI CITY
BANGKAL HIGH SCHOOL

___________________________________________________ ____________________
Signature over Printed name of the Parent/Guardian Date

___________________________________________________ ___________________
Registered Address Contact Number

Important Reminder:

Please attached a photocopy and/or a screenshot of a valid Identification Card with

signature of the parent/guardian.

_____________________________________________________________________________________
Address : Gen. Malvar cor. Apolinario Sts. Brgy. Bangkal Makati City
Telephone Number : 8844-09-97
Electronic Address : bangkal_hs@yahoo.com / 320002@deped.gov.ph