Department of Education

Region V
Division of Albay
DARAGA NATIONAL HIGH SCHOOL
SENIOR HIGH DEPARTMENT
Sagpon, Daraga

PARENTAL CONSENT

As part of their research output, the class will conduct a data gathering activity outside of
the school premises since their research involve respondents outside the school. Therefore, we
would like to ask for your consent on the said matter.

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

daughter

_____________________________________________________ of ________________________________
(Name of Student) (School)

to join in the data gathering activity outside the school premises as part of their research
final output.

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

CONFORME:

_________________________________________ _____________________
Name and Signature of Learner Date

_________________________________________ ______________________
Name and Signature of Parent/ Guardian Date