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Parental Consent Form

The document is a parental consent form for a student to participate in an activity. It includes fields for the student's name and details, the parent's signature and date, and spaces for arrival and departure times with the responsible teachers noted.

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Isaac Fontaron
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44 views1 page

Parental Consent Form

The document is a parental consent form for a student to participate in an activity. It includes fields for the student's name and details, the parent's signature and date, and spaces for arrival and departure times with the responsible teachers noted.

Uploaded by

Isaac Fontaron
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PUERTO PRINCESA CITY NATIONAL SCIENCE HIGH SCHOOL

Brgy. Sta Monica, Puerto Princesa City


Tel. No. (048) 434-0977, Email: 301791@deped.gov.ph

PARENTAL CONSENT FORM


SY 2021-2022

I hereby willingly and voluntarily give consent to my child, ___________________________________


Name

of__________________________ to
Grade and Section

_________________________________________________________________________________
Activity/ Purpose

He/She will be in ____________________________ on ____________________________________


Place/Venue Date

from __________________ to____________________.


Time Time

I have considered the benefits that my child will derive from his/her participation in this activity with
the understanding that due care and precaution will be observed to ensure his/her safety. PPCNSHS
personnel will not be held responsible for any untoward incident that may happen beyond their control.

______________________________________ ______________
Parent’s/Guardian’s Signature Over Printed Name Date

Requesting Teacher/School Personnel (if ever): ______________________________________

Contact Number of the Requesting Teacher: _________________________________________

Time arrived: ____________ Guard on duty/Teacher in charge: _______________________

Time left: _____________ Guard on duty/Teacher in charge: _______________________

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