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Parental Consent 1

This parental consent form allows a student named __________________ to participate in a Learning Camp from _____________ to _____________. The parents agree that their child will benefit from the activity as long as due care is taken for their child's comfort and safety. The DepEd employees are not responsible for any unexpected incidents beyond their control. The form requires signatures from the father, mother, and guardian if applicable over their printed names and dates. A teacher must then verify the form.

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Ka Ye
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163 views1 page

Parental Consent 1

This parental consent form allows a student named __________________ to participate in a Learning Camp from _____________ to _____________. The parents agree that their child will benefit from the activity as long as due care is taken for their child's comfort and safety. The DepEd employees are not responsible for any unexpected incidents beyond their control. The form requires signatures from the father, mother, and guardian if applicable over their printed names and dates. A teacher must then verify the form.

Uploaded by

Ka Ye
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
SCHOOLS DIVISION OFFICE OF BOGO CITY

_______________________
Date

PARENTAL CONSENT

I/We hereby willing and voluntarily give consent to the participation of my/our son/daughter
____________________________________ in the Learning Camp from ________________________.
(name of learner) (dates of attendance)

I have considered the benefits that my son/daughter will get with 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. DepEd employees and personnel may not be held responsible for any untoward incident
that may happen beyond their control.

______________________________ ______________________________
Signature of Father over Signature of Mother over
Printed Name and Date Printed Name and Date

__________________________________
Signature of Guardian over
Printed Name/Date

___________________________________
Relationship with the Learner

Verified By:

_____________________________________ Date: _________________________


Teacher

Note: If No Parent/s, submit Affidavit of Guardianship duly verified by the teacher. If parents are abroad,
a Special Power of Attorney (SPA) is rendered.

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