Parental Consent Palarong Iskolar 2023

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Republic of the Philippines

Department of Education
REGION IVA-CALABARZON
SCHOOLS DIVISION OF LIPA CITY
LIPA CITY SCIENCE INTEGRATED NATIONAL HIGH SCHOOL
LIPA CITY, BATANGAS

Palarong Iskolar 2023


January 28, 2023
7:000 am - 5:00 pm

PARENTAL CONSENT

I, ___________________________, allow my son / daughter __________________ to


(Name of Parent / Guardian) (Name of Student)

participate in the Palarong Iskolar 2023 on January 28, 2023 at 7:00 AM – 5:00

PM. I am allowing him/her to fulfill and participate in the said activity spearheaded

by the LCSINHS Samahang Bigkis Lahi together with the Sports and Cultural Club

and to be involved in all its activities, programs, and projects.

____________________________________________________ _____________
Parent / Guardian’s Signature over printed name Date

LIPA CITY SCIENCE INTEGRATED NATIONAL HIGH SCHOOL


#611, B. Morada St., Brgy. Uno, Lipa City, Batangas 4217
E-Mail Address: lipacityscienceinhs@gmail.com | 301492@deped.gov.ph
Contact Number: 403-2786

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