Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
SCIENCE AND TECHNOLOGY EDUCATION CENTER
HIGH SCHOOL DEPARTMENT
PARENTS CONSENT
I,________________________________hereby allow my son/daughter_____________________________
(Name of Parent/Guardian) (Name of Student)
to attend his/her Smart Olympics on August 23-24, 2019 from 7:00 AM - 5:00 PM _at Science and Technology
Eduation Center. I understand that the school, the faculty and its staff and employees will exercise the due
diligence and prudence required for the safety and well-being for the duration, place, and his/her place, and his/her
participation for this event. This diligence would include oral and written instructions, whether given before or
during the activity that if followed, would ensure his/her safety. I also agree on the amount that will be required by
this activity which is thee Php200.00 and has the following breakdown:
Php180.00 - T-shirt and Printing
Php20.00 - Registration Fee
____________________________
Signature of Parent/Guardian
IN CASE OF EMERGENCY:
Name: __________________________ Name: __________________________
Relationship: __________________________ Relationship: __________________________
Contact Number/s: ___________________ Contact Number/s: ___________________