NLC Parent Consent

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Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF PAMPANGA
STO. ROSARIO NATIONAL HIGH SCHOOL
MINALIN, PAMPANGA

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 Name Signature of Mother over Printed Name
Date:

___________________________
Signature of Guardian over Printed Name
Date:

____________________________
Relationship with the Learner

Verified by: ___________________________ Date:___________

Noted by:

JAYSON M. FLORES
Principal III

Sto. Rosario National High School


Address: Purok 2 Sto. Rosario Minalin, Pampanga
Email: 300936@deped.gov.ph

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