Republic of the Philippines
DEPARTMENT OF EDUCATION
                                            CARAGA Administrative Region
                                           DIVISION OF AGUSAN DEL SUR
                                      PATIN-AY NATIONAL HIGH SCHOOL
                                         PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.
                              _____________________________________________
                                 Signature of Parent/Guardian over Printed name
                       Verified by:
                                             ARLIN M. BATAUSA, Ph.D
                                                   Principal III
                                              Republic of the Philippines
                                           DEPARTMENT OF EDUCATION
                                            CARAGA Administrative Region
                                           DIVISION OF AGUSAN DEL SUR
                                      PATIN-AY NATIONAL HIGH SCHOOL
                                         PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.
                              _____________________________________________
                                 Signature of Parent/Guardian over Printed name
                       Verified by:
                                             ARLIN M. BATAUSA, Ph.D
                                                   Principal III
                                              Republic of the Philippines
                                           DEPARTMENT OF EDUCATION
                                            CARAGA Administrative Region
                                           DIVISION OF AGUSAN DEL SUR
                                      PATIN-AY NATIONAL HIGH SCHOOL
                                         PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.
                              _____________________________________________
                                 Signature of Parent/Guardian over Printed name
                       Verified by:
                                             ARLIN M. BATAUSA, Ph.D
                                                   Principal III