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Republic of the Philippines

Region VI - Western Visayas


Department of Education
Division of Capiz
MACARIO BERMEJO NATIONAL HIGH SCHOOL
Jaena Norte, Jamindan, Capiz

PARENT’S CONSENT

October 17, 2022

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _______________________________Grade/Section _________________ in the
film showing of “THE BUYBUST QUEEN” on October 18, 2022, Thursday at Jamindan
Gymnasium 2:00 o’clock.

I have considered the benefits that my son/daughter will derive 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 Macario Bermejo NHS employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_______________________________ _____________________________
Signature of Father Over printed Name Signature of Mother Over Printed Name

Verified by:

____________________________
Adviser
MA. CHARLY F. DIAZ
Principal I

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