PILI PAROCHIAL SCHOOL, INC.

(The First Catholic Elementary School in Pili)

San Antonio, Pili, Camarines Sur
SY 2023-2024

DATE ____________________ PARENT CONSENT

I, ___________________________________ (Name of Parent/ Guardian) hereby state that I am the

___________________(Relation to student) of _______________________________ (Name of student) do hereby signify my
consent for my son/daughter to join the Year-end Central Student Council Team Building Activity on May 11-12, 2024 at
Magtuto Farm & Resort, Panicuason, Naga City, 4:00 PM – 10:00 AM and have considered to participate in the said activity
provided that due care and precaution will be observed to ensure the safety of my son/daughter and that Pili Parochial School, faculty
and staff shall not be held responsible for any untoward incident that may happen beyond their control.

________________________________ ________________________________
Signature of Parent/Guardian Over Printed Name Signature of Student Over Printed Name

Verified:
Ms. Maria Hazel O. Palacio
Coordinator, Student Affairs & Services

PILI PAROCHIAL SCHOOL, INC.

(The First Catholic Elementary School in Pili)
San Antonio, Pili, Camarines Sur
SY 2023-2024

DATE ____________________ PARENT CONSENT

I, ___________________________________ (Name of Parent/ Guardian) hereby state that I am the

___________________(Relation to student) of _______________________________ (Name of student) do hereby signify my
consent for my son/daughter to join the Year-end Central Student Council Team Building Activity on May 11-12, 2024 at
Magtuto Farm & Resort, Panicuason, Naga City, 4:00 PM – 10:00 AM and have considered to participate in the said activity
provided that due care and precaution will be observed to ensure the safety of my son/daughter and that Pili Parochial School, faculty
and staff shall not be held responsible for any untoward incident that may happen beyond their control.

________________________________ ________________________________
Signature of Parent/Guardian Over Printed Name Signature of Student Over Printed Name

Verified:
Ms. Maria Hazel O. Palacio
Coordinator, Student Affairs & Services