Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
GENABLAN ORIENTAL ELEMENTARY SCHOOL
Genablan Oriental Matnog, Sorsogon
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form his/her participation in this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that DepEd employees and personnel may not held responsible for any untoward
incident that may happen beyond their control.
___________________________ _____________________________
Signature of Father Signature of Mother
___________________________ _____________________________
Name of Father Name of Mother
___________________________________
Signature of Guardian Over Printed Name
___________________________________
(Relationship with the Athlete)
Verified:
_____________________________
Teacher-Adviser _________________________________
School Head
Any mark or alteration of any entry invalidates the document.
Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
CORON – CORON ELEMENTARY SCHOOL
Coron - Coron Matnog, Sorsogon
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form his/her participation in this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that DepEd employees and personnel may not held responsible for any untoward
incident that may happen beyond their control.
___________________________ _____________________________
Signature of Father Signature of Mother
___________________________ _____________________________
Name of Father Name of Mother
___________________________________
Signature of Guardian Over Printed Name
___________________________________
(Relationship with the Athlete)
Verified:
_____________________________
Teacher-Adviser _________________________________
School Head
Any mark or alteration of any entry invalidates the document.
Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
SINANG - ATAN ELEMENTARY SCHOOL
Sinang – atan, Matnog, Sorsogon
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form his/her participation in this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that DepEd employees and personnel may not held responsible for any untoward
incident that may happen beyond their control.
___________________________ _____________________________
Signature of Father Signature of Mother
___________________________ _____________________________
Name of Father Name of Mother
___________________________________
Signature of Guardian Over Printed Name
___________________________________
(Relationship with the Athlete)
Verified:
_____________________________
Teacher-Adviser _________________________________
School Head
Any mark or alteration of any entry invalidates the document.
Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
CALPI ELEMENTARY SCHOOL
Calpi, Matnog, Sorsogon
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form his/her participation in this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that DepEd employees and personnel may not held responsible for any untoward
incident that may happen beyond their control.
___________________________ _____________________________
Signature of Father Signature of Mother
___________________________ _____________________________
Name of Father Name of Mother
___________________________________
Signature of Guardian Over Printed Name
___________________________________
(Relationship with the Athlete)
Verified:
_____________________________
Teacher-Adviser _________________________________
School Head
Any mark or alteration of any entry invalidates the document.
