GIRL SCOUTS OF THE PHILIPPINES

Cavite Council

24th COUNCILWIDE JUNIOR CAMP

May 17-19, 2024
Alfonso Central Elementary School
Alfonso, Cavite

PARENT CONSENT FORM

TO WHOM IT MAY CONCERN:

This is to allow my daughter,

_____________________________________________________________ of

______________________________________ Council to participate in the 24th

Councilwide Camp on April 26-28, 2024 to be held at Alfonso Central
School, Alfonso, Cavite
We will not hold the Girl Scouts of the Philippines responsible for any
untoward incident that may happen beyond its control.

_______________________________
Name of Parents

______________________________
Signature

_______________________________
Address

______________________________
Date

Noted by:

_______________________________ _______________________
Patrol Leader Date

MA. CRISTINA D. ENCARNACION APRIL 30, 2024

District Field Adviser Date
 GIRL SCOUTS OF THE PHILIPPINE
CAVITE COUNCIL

24th COUNCILWIDE JUNIOR CAMP

May 17-19, 2024 at Alfonso Central School, Alfonso, Cavite

IMPORTANT:
Please notify the Camp if the applicant is exposed to any
communicable diseases during the three weeks prior to camp
attendance.

____________________________________
Attending Physician

____________________________________
Licensed No.

____________________________________
Date Submitted