Republic of the Philippines
Department of Education
Region 02 - Cagayan Valley
SCHOOLS DIVISION OFFICE OF ISABELA
ECHAGUE NATIONAL HIGH SCHOOL
San Fabian, Echague, Isabela
ANNEX E
PARENTAL CONSENT FORM
TO WHOM IT MAY CONCERN:
I/We hereby approved the participation of our son/daughter
_______________________________________, _______________________ student,
(Name of Student) (Name of Strand & Section)
to undergo the Senior High School Work Immersion at
__________________________________, on ________________ of School Year 2024-
2025.
(Name of Agency)
That my son/daughter will render 80 hours of work immersion on the said office
without pay. That I agree with the activities to be given on my son/daughter as reflected on
her Immersion Plan which I put my signature.
I/We expressly waive any and all other claim against ENHS and the partner agency on
account of any incident or injury and loss or damage to property that may happen to our
son/daughter beyond their control.
_____________________ _______________
Printed Name & Signature Date
of Parent/Guardian