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Parents Consent
Parents Consent
STATE UNIVERSITY
PARENT’S CONSENT
AFFIDAVIT OF CONSENT
I hereby warrant to the best of my knowledge, that he/she is in good health, and I assume all
responsibility for his/her health. In the event of an emergency, I hereby give permission to transport
him/her to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any
further treatment by the hospital or doctor. In the event of an emergency and you are unable to reach me,
contact:
________________________________________ at ___________________.
(Name and Relationship) (Phone Number)
________________________________
Affiant
SUBSCRIBED AND SWORN to before me, this ________________ at City of Mati, Davo
Oriental, Philippines. Affiant exhibited me his/her ____________________ issued at
________________________________ Philippines on ___________________.