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DISTRICT OF SAN JACINTO

Sto. Tomas, San Jacinto, Pangasinan

PARENT'S CONSENT FORM

TO WHOM IT MAY CONCERN,

This is to allow my son/daughter __________________________ to attend the one day " District Orientation
Workshop on the 2024 Division Festival of Talents (DAFOT) Folkdance Competitions Contest Pieces For Elementary
Level" on Friday January 12, 2024 at East Central School San Jacinto, Pangasinan. I have considered the benefits that
shall be derived from the participation of my child in the said activity with the understanding that the necessary
safety measures/ precautions shall be taken.

However, I shall not hold the Division of Pangasinan II, San Jacinto District and staff liable if, after such safety
measures/precautions taken, untoward incidents happen.

_______________________________________

Signature over Printed Name of Parent/Guardian

DISTRICT OF SAN JACINTO


Sto. Tomas, San Jacinto, Pangasinan

PARENT'S CONSENT FORM

TO WHOM IT MAY CONCERN,

This is to allow my son/daughter __________________________ to attend the one day " District Orientation
Workshop on the 2024 Division Festival of Talents (DAFOT) Folkdance Competitions Contest Pieces For Elementary
Level" on Friday January 12, 2024 at East Central School San Jacinto, Pangasinan. I have considered the benefits that
shall be derived from the participation of my child in the said activity with the understanding that the necessary
safety measures/ precautions shall be taken.

However, I shall not hold the Division of Pangasinan II, San Jacinto District and staff liable if, after such safety
measures/precautions taken, untoward incidents happen.

_______________________________________

Signature over Printed Name of Parent/Guardian

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