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