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Republic of the Philippines

Department of Education
Region XIII
SCHOOLS DIVISION OF BISLIG CITY
Delot Elementary School
Purok 7, San Vicente, Bislig City
School Year 2023-2024

PARENTAL CONSENT

We hereby and voluntarily give consent the participation of our son/daughter


_______________________________________ in the IP Day Celebration at Bislig City
Cultural Center on October 20, 2023.

We have considered the benefits that our son/daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to
ensure the comfort and safety of our son and that DepEd employees and personnel may not
be held reasonable for any untoward incident that may happen beyond their control.

____________________________ ______________________________
Signature of Father Signature of Mother

____________________________ ______________________________
Name of Father Name of Mother

Verified by:

_________________________
Teacher-Adviser

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