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Parental Consent: Valverde National High School

This document is a parental consent form for a student's participation in a Work Immersion program for Senior High School students at the San Joaquin People's Center in San Joaquin, Iloilo. The form provides consent for the student's participation, acknowledges potential benefits to the student, and releases the DepEd and LGU personnel from responsibility for incidents beyond their control during the program. The form requires signatures from the student's father, mother, and guardian to provide consent.

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Rosel Sariego
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0% found this document useful (0 votes)
65 views1 page

Parental Consent: Valverde National High School

This document is a parental consent form for a student's participation in a Work Immersion program for Senior High School students at the San Joaquin People's Center in San Joaquin, Iloilo. The form provides consent for the student's participation, acknowledges potential benefits to the student, and releases the DepEd and LGU personnel from responsibility for incidents beyond their control during the program. The form requires signatures from the student's father, mother, and guardian to provide consent.

Uploaded by

Rosel Sariego
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Iloilo
VALVERDE NATIONAL HIGH SCHOOL
Cata-an, San Joaquin, Iloilo

PARENTAL CONSENT

We hereby willingly and voluntarily give consent the participation of my/our


son/daughter ________________________________________ in Work Immersion for
Senior High School to be held at San Joaquin People’s Center, San Joaquin, Iloilo on
__________________________________________________.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity provided that the due care and precaution will be
observed to ensure the comfort and safety of my son/daughter and the DepEd
employee and LGU personnel may not be held responsible for any untoward incident
that may happen beyond their control.

_____________________________________ _____________________________________
Signature over Printed Name of Father Signature over Printed Name of Mother

_________________________________________
Signature over Printed Name of Guardian

Noted by:

ROSEL G. SARIEGO
SHS Work Immersion Teacher

Verified by:

MARY JOHNS A. SASANA


Head Teacher I/OIC

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