Republic of the Philippines
Department of Education
REGION VIII – EASTERN VISAYAS
SCHOOLS DIVISION OF LEYTE
Candahug, Palo, Leyte
PERMISSION TO PARTICIPATE and PARENTAL CONSENT FORM
I, the undersigned, certify that I am the parent or legal guardian of the below
mentioned Participant. I hereby authorize my child named below to participate in
the Area Schools Press Conference (ASPC) San Miguel Central School, San
Miguel, Leyte on May 17-20, 2023.
Full name of child: ______________________________________________________________
Age/Gender: ____________________________________________________________________
Parent’s/ Guardian’s full name: _________________________________________________
Contact number or telephone number: ___________________________________________
I confirm that by completing this form, I have read, understood and agreed
to the rules for the contest.
I confirm that the information given in this parental consent from is
complete and accurate.
_________________________________________ __________________
Signature of Parent or Legal Guardian Date:
Government Center, Candahug, Palo, Leyte
(053) 888-3527
leyte.ro8@deped.gov.ph
Lead to Go, Love to Grow, Live to Glow . . .