Republic of the Philippines

Department of Education
Region VI- Western Visayas
Division of Negros Occidental
ENRIQUE B. MAGALONA NATIONAL HIGH SCHOOL
December 7, 2023

To all subject teachers:

Please excuse the following student-athlete:

Event: FUTSAL
Signature of Subject Teacher
Name Section
FIL ENG. MATH SCI AP EsP TLE MAPEH
Seban, Hershey
Divinagracia, Rosania
Alic, Jamila Cassandra
Bionat, Micah
Dela Cruz, Stella Marie
Dieta, Mariel
Dimson, Blissel Grace
Nagawang, Jasmin
Linsao, Cy Erin
Bermejo, Jiewel
Lauigan, Shamille
Quijano, Kieth Nicole

Coach: Alfonso E. Pancho III SCHEDULE:

Asst. Coach: Ma. Lisa E. Pancho
Tuesday-Friday, 7:30AM-4:00PM
Trainer: Alfonso E. Pancho III
December 11-15 and January 3-12
Thank you and looking forward to give favorable

Sincerely,

ALFONSO E. PANCHO III

COACH, FUTSAL

Noted: APPROVED:

HARLENE MAY F. PASIGNAHIN ETHEL R. BLANCAFLOR

Sports Coordinator Principal III

Address: National Highway, E.B. Magalona, Negros Occidental, 6118

Phone No.: (034) 495-3374
Email Address: ebmnhs_1947@yahoo.com
 Republic of the Philippines
Department of Education
Region VI- Western Visayas
Division of Negros Occidental
ENRIQUE B. MAGALONA NATIONAL HIGH SCHOOL
PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ______________________________________ in ____________________________
in preparation or the Cluster Meet 2024. The following schedule will be observed:

Date: Time:

I/We have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care, diligence, and necessary precautions will be
observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to collect, process, retain,
and dispose of personal information of the above-mentioned athlete in accordance with the Data
Privacy Act of 2012.

________________________
Signature of Parent/Guardian
Over Printed Name