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Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Region
Division of Surigao del Sur
Hinatuan North District
STO.NIŇO ELEMENTARY SCHOOL
School ID 214506

___________________
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of


my/our son/daughter ______________________________________________ in
the Municipal Athletic Meet at Hinatuan National Comprehensive High School on
January 20-21, 2023.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to
ensure the comfort and safety of my son/daughter and that DepEd employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

__________________________ __________________________
Signature of Father Signature of Mother
__________________________ __________________________
Name of Father Name of Mother
__________________________
Signature of Guardian over Printed Name

__________________________
Relationship with the Athlete
VERIFIED:
__________________________________________
Teacher-Adviser

________________________________________
School Head

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