Republic of the Philippines
Department of Education
Region I
Schools Division of Ilocos Sur
BANTAY NATIONAL HIGH SCHOOL
December 02, 2024
PARENTAL CONSENT
This is to certify that I have given full consent and permission for my
son/daughter________________________________________________of_________________________________to participate in the
Activity: Mental Health Activity
Venue: Provincial Capitol
Date: December 05, 2024
Time: 7:30-5:00
I have considered the benefits that my son/daughter will derive from his/her participation in the activity with the
understanding that every precautionary measure is to be taken to ensure his/her safety.
I shall not hold the school and its representative responsible for any untoward accident that may happen beyond their control.
_____________________________________ ___________________________________
Signature Over Printed Name of Parent Teacher
_____________________________________ ___________________________________
FARRAH KATE T. TAGORDA MARYJANE V. MEDINA
MT II/SHS Coordinator Principal I
Republic of the Philippines
Department of Education
Region I
Schools Division of Ilocos Sur
BANTAY NATIONAL HIGH SCHOOL
December 02, 2024
PARENTAL CONSENT
This is to certify that I have given full consent and permission for my
son/daughter________________________________________________of_________________________________to participate in the
Activity: Mental Health Activity
Venue: Provincial Capitol
Date: December 05, 2024
Time: 7:30-5:00
I have considered the benefits that my son/daughter will derive from his/her participation in the activity with the
understanding that every precautionary measure is to be taken to ensure his/her safety.
I shall not hold the school and its representative responsible for any untoward accident that may happen beyond their control.
_____________________________________ __________________________________
Signature Over Printed Name of Parent Teacher
_____________________________________ ___________________________________
FARRAH KATE T. TAGORDA MARYJANE V. MEDINA
MT II/SHS Coordinator Principal I
