Annex 2

Parent’s Consent Template

Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Pigcarangan, Tubod, Lanao del Norte

(Date)

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the

participation of my/our son/daughter _____________________ in the Learning
Camp from ____________.

I/We have considered the benefits that my son/daughter will

get 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. DepEd employees and personnel may be held responsible for
any encountered incident that may happen beyond their control.

______________________________ ______________________________
Signature of Father over Printed Signature of Mother over Printed
Name and Date Name and Date

___________________________
Signature of Guardian over
Printed Name/ Date

____________________________
Relationship with the Learner

Verified by:

___________________________ Date:___________
Teacher
Annex 1
Learning Camp Registration Template

Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Pigcarangan, Tubod, Lanao del Norte

Learning Camp Registration Template

Camp Group: ____________________________________

Name: ____________________________________
Grade Level: ____________________________________
If in Senior High School, specify the strand: ________________________________
Age: _____________________
Address: ______________________
Parent/Legal Guardian : ___________________________________
Contact Number: ___________________________
Final Grade in English: _____________________________
Math : _______________________________
Science: ____________________________