Republic of the Philippines

Department of Education,
Region VI – Western Visayas
SCHOOLS DIVISION OF ILOILO
SCHOOLS DISTRICT OF LEON I
CANANAMAN INTEGRATED SCHOOL

PARENTAL CONSENT

Sir/ Madam,

I, Parent/ Guardian of _________________________________ (Name of the student) would

like to inform you that I am allowing my child to attend the DISTRICT MEET which is to be
held at Leon Central Elementary School. I would most humbly inform you that I give my
consent and allow my child to join the ATHLETICS on November 28, 2023.

I expect and know that the school will exercise the diligence required for the safety and well-
being of my child and that his/her participation in the activity will be beneficial to him/her.
However, participation in the activity carries with it certain risks that cannot be eliminated
regardless of the care taken to avoid injuries. I know and understand these and other risks
that are inherent to the stated activity and I hereby assert that my child’s participation, as
well as my consent to it, is voluntary and that I knowingly assume all such risks. However,
should anything happen that harms my child, I expect to be notified immediately through my
contact number _______________________.

I acknowledge that I am signing this freely and voluntarily and intend this by my signature to
be a complete and unconditional release of all liability to the greatest extent allowed by law.

_______________________________________

Signature above printed name of Parent

______________________________

Date