vida of Somber 2.2018 Republic of the Phitppines DEPARTMENT OF EDUCATION 2 (Region) NUEVA VIZCAYA, (Division) BAMBANG II DISTRICT (School) BAMBANG NORTH CENTRAL SCHOOL 10/19/2023 Date PARENTAL CONSENT \Me hereby willingly and voluntarily give consent to the participation of my/our son/daughter in for the selection of athletes to compete during the upcoming District Meet. We have considered the benefits that my son or daughter will derive from his/her participation in this activity provided that due care, diligence and necessary precautions will be observed to ensure his/her health and safety. Further, We authorize the personnel of Department of Education to collect, process, retain, and dispose of personal information of the above- mentioned athlete in accordance with the Data Privacy Act of 2012. Signature 6 Father Over Pred Nave ‘Signature of Moti Over Pred Name Verified: dea elt ——_______DIVINA. RAMEL__ Coach- ‘School Head/Registrar (sonaure Over ried Nae) (Sepute Ove Piet ar) Remarks: Note: Submit the necessary documents, ie. Affidavit/Sworn Statement of Actual Care and Custody uly verified by the adviser and school head, in cases signature of parents are unavailable. FOR SCHOOL SPORTS (BNCS)