Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Passi City
District of Passi II East
MAN-IT INTEGRATED SCHOOL
Brgy. Man-it, Passi City, Iloilo

PARENTAL CONSENT

TO WHOM IT MAY CONCERN:

I/We hereby willingly and voluntarily give consent to have a tutorial or remediation of my daughter _____Shane
Palmares____________ on _03/17/2022______ at Man-it Integrated School.

I/We have considered the benefits that my son/daughter will derive form his/her participation during the tutorial or
remediation provided that due care and precaution will be observed to ensure the comfort and safety of my son/daughter and that
the school employees and personnel may not be held responsible for any untoward incident that may happen beyond their control.

This consent is signed this _____day of _____________________, 2022 at Passi, City, Iloilo.

_______________________________ JUNIEL G. DAPAT

PARENT/GUARDIAN GRADE 9- ROSE ADVISER
Signature over Printed Name

Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Passi City
District of Passi II East
MAN-IT INTEGRATED SCHOOL
Brgy. Man-it, Passi City, Iloilo

PARENTAL CONSENT

TO WHOM IT MAY CONCERN:

I/We hereby willingly and voluntarily give consent to have a tutorial or remediation of my son/daughter
____________________________________________ on _____________________ at Man-it Integrated School.

I/We have considered the benefits that my son/daughter will derive form his/her participation during the tutorial or
remediation provided that due care and precaution will be observed to ensure the comfort and safety of my son/daughter and that
the school employees and personnel may not be held responsible for any untoward incident that may happen beyond their control.

This consent is signed this _____day of _____________________, 2022 at Passi, City, Iloilo.

_______________________________ JUNIEL G. DAPAT

PARENT/GUARDIAN GRADE 9- ROSE ADVISER
Signature over Printed Name