Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Republic of the Philippines

DEPARTMENT OF EDUCATION
__________IX_________
(Region)
ZAMBOANGA DEL SUR
(Division)
BINUAY NATIONAL HIGH SCHOOL
(School)
BINUAY, DIMATALING ZAMBOANGA DEL SUR
(School Address)

________________________
Date
PARENTAL CONSENT

Permit is hereby granted to my son/daughter __________________________, a student


/athlete of Binuay National High School, to attend the DISTRICT ATHLETIC MEET 2023 held at
Kagawasan,Dimataling Zamboanga Del Sur on December 15-16, 2023.

Moreover, the qualified/identified student athlete shall be having a medical examination on


December 15 at RHU, Kagawasan , Dimataling, Zamboanga Del Sur, as a requirement of the
a forementioned activity.

Considering the risk of his/her participation to join such activity therefore we waive our rights
whatever claim should there be untoward incidents that may occur, after all exhaustive means have
been undertaken by the coach/authorities concerned during the duration of the completion of the said
activity.

Signed this _____day of ______________ at __________________, Zamboanga del Sur.

_____________________________ ______________________________
Signature Over Printed Name: Father Signature Over Printed Name: Mother

Verified:

______________________________ ________DANTE M. SACAPAÑO,_____


Adviser School Head
(Signature Over Printed Name) (Signature Over Printed Name)
Remarks:

You might also like