General Parental Consent. Aquatics Class 1

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Republic of the Philippines

Department of Education
Region VI-Western Visayas
Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL

Parental Consent

I hereby willingly and voluntarily allow my daughter/ward __________________________________________________ (name of student) in


_________________________________________ (grade-strand&section) to join the _______PE 4 Aquatics Class_______ at __UNO-R Swimming Pool__
on _________________________________________________ (date/time).

I have considered the benefits that my son/daughter/ward will derive from her participation in this activity, with an entrance
fee of P100. It is with this understanding that I will not hold any party responsible for any untoward accident and/or incident which
may happen during the above-mentioned activity as long as due care and precautions are observed to ensure his/her safety.

I hereby affix my signature this __ day of _________, ______.


(day) (month) (year)

_________________________________________________

Signature over Printed Name of Parent/ Guardian

Address: __________________________________

Contact No:____________________

Republic of the Philippines


Department of Education
Region VI-Western Visayas
Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL

Parental Consent

I hereby willingly and voluntarily allow my daughter/ward ___________________________________________________ (name of student) in


_________________________________________ (grade-strand&section) to join the _______PE 4 Aquatics Class_______ at __UNO-R Swimming Pool__
on _________________________________________________ (date/time).

I have considered the benefits that my son/daughter/ward will derive from her participation in this activity, with an entrance
fee of P100. It is with this understanding that I will not hold any party responsible for any untoward accident and/or incident which
may happen during the above-mentioned activity as long as due care and precautions are observed to ensure his/her safety.

I hereby affix my signature this __ day of _________, ______.


(day) (month) (year)

_________________________________________________

Signature over Printed Name of Parent/ Guardian

Address: __________________________________

Contact No:____________________

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