---------------------------------------------------------------------------------------------------------------------
Date: _____________
                                P A R E N TA L C O N S E N T
       I/We hereby willingly and voluntarily give consent to my/our son/daughter/wife/husband
____________________________________________________to participate in the ALS A&E Test on
March 3, 2019 Sunday in Valencia National High School Bong-ao,Valencia Negros Oriental.
         I have considered the benefits that my son or daughter will derive from his/her participation in
this activity provided that due care and precaution will be observed to ensure the comfort and safety of
my son/daughter and that DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.
                                  ______________________________________
                                  Signature over printed name of Guardian/Parent
                                              ______________________
                                               Relationship with learner
                                            ________________________
                                            Signature of ALS implementer
-------------------------------------------------------------------------------------------------------------------------------
                                                                                                  Date: _____________
                                P A R E N TA L C O N S E N T
       I/We hereby willingly and voluntarily give consent to my/our son/daughter/wife/husband
____________________________________________________to participate in the ALS A&E Test on
March 3, 2019 Sunday in Valencia National High School Bong-ao,Valencia Negros Oriental.
         I have considered the benefits that my son or daughter will derive from his/her participation in
this activity provided that due care and precaution will be observed to ensure the comfort and safety of
my son/daughter and that DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.
                                  ______________________________________
                                  Signature over printed name of Guardian/Parent
                                              ______________________
                                               Relationship with learner
                                            ________________________
                                           Signature of ALS implementer