Republic of the Philippines

Department of Education
REGION VIII – EASTERN VISAYAS
HOLY CROSS COLLEGE OF CARIGARA INCORPORATED
Rebolledo St. Ponong Carigara, Leyte
School ID: 404667

PARENTAL CONSENT FORM

I, the undersigned, certify that I am the parent or legal guardian of the below
mentioned student. I hereby authorize my child named below to attend the Search for Mr. &
Ms. Intramurals 2023 on Wednesday, October 25, 2023 from 4:00 p.m. Onwards.

Full name of child: ___________________________________________________________

Age/Gender: ________________________________________________________________
Parent’s/ Guardian’s full name: _________________________________________________
Contact number or telephone number: ____________________________________________

I confirm that by completing this form, I have read, understood and agreed to the rules
and regulations of the school.
I confirm that the information given in this parental consent form is complete and
accurate.

Name & Signature of Parent or Legal Guardian Date: