Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
COL. E. DE LEON ELEMENTARY SCHOOL

PARENT/GUARDIAN CONSENT FORM

This form confirms that WE agree to allow the participation of my

son/daughter in the ONLINE UNITED NATION CELEBRATION on October 29,
2021 at 8:00 a.m. via Fb Live.

This is to confirm that WE give full permission for any recording that may be done
during this program and for use of some or all their
image/contribution/performance in any publication (including electronic
publications such as film or website/

_______________________________
Name and Signature of Learner

____________________________________________
Name and Signature of the Parent/Guardian

Address: Victor Medina St. San Dionisio Parañaque City

Telephone Number: (02) 84524514
Website: depedparanaquecity.com
Email Address: deped.paranaque@deped.gov.ph
 Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
COL. E. DE LEON ELEMENTARY SCHOOL

Address: Victor Medina St. San Dionisio Parañaque City

Telephone Number: (02) 84524514
Website: depedparanaquecity.com
Email Address: deped.paranaque@deped.gov.ph