Enclosure No.
PARENTAL CONSENT WAIVER and RELEASE
I, _____________________________________ , as the parents or legal guardian of
_____________________________________, hereby acknowledge that I have been
informed of the details of the DIVISION FEDERATED LEARNER GOVERNMENT
ELECTIONS FOR SCHOOL YEAR (SY) 2025 - 2026 and hereby state/declare
that:
1. I give Full Consent for our child/ward to participate in the DIVISION
FEDERATED LEARNER GOVERNMENT ELECTIONS FOR SCHOOL
YEAR (SY) 2025 - 2026 to be conducted by the School Governance and
Operations Division (SGOD) of the City Schools Division of Tanauan on
March 7, 2025 at Tanauan North Central School;
2. I acknowledge that I have been informed of the details of the conduct of
the DIVISION FEDERATED LEARNER GOVERNMENT ELECTIONS FOR
SCHOOL YEAR (SY) 2025 - 2026;
3. I understand that my child/ward's in-person attendance at the event will
include associating with teachers, fellow learners and division personnel,
and other persons inside and outside of the school that may put my child
of transmission of any communicable disease, notwithstanding the
precautions undertaken by the implementing team to avoid such
transmission;
4. I acknowledge that our child's participation in this activity is completely
voluntary and he/ she may decline to participate at any time for any
reason. While there remains the risk of possible transmission of any
communicable diseases to my child/ward, and to the members of my
household, I freely assume the said risk and I permit my child/ward to
attend this activity;
5. To the best of my knowledge, my child/ward is in good physical condition
and I confirm that he/she does not have any symptoms for communicable
disease;
6. I will not allow our child/ward to participate in the DIVISION FEDERATED
LEARNER GOVERNMENT ELECTIONS FOR SCHOOL YEAR (SY) 2025 -
2026 if he/she or any member of my household develops any of the said
symptoms or any other symptoms of illness that may or may not be
related to any communicable disease. I will also inform the school/ division
and not allow my child/ward to attend the DIVISION FEDERATED
LEARNER GOVERNMENT ELECTIONS FOR SCHOOL YEAR (SY) 2025 -
2026, if he/ she or any members of my household test positive for any
communicable disease;
7. I give full permission in any recording or picture taken of my child/ward
during the conduct of the DIVISION FEDERATED LEARNER GOVERNMENT
ELECTIONS FOR SCHOOL YEAR (SY) 2025 - 2026 and to use for purposes of
documentation my child's/ward's images, contribution, or performance in
any publication created by or for the SGOD-YFD and to release this
material to DepEd official platforms in accordance with the provisions of
Republic Act No. 10173 otherwise known as the Data Privacy Act of 2012;
8. I conform/agree to the collection and/or processing of any personal
information and data from myself and my child/ward, that are necessary
to successfully host the DIVISION FEDERATED LEARNER GOVERNMENT
ELECTIONS FOR SCHOOL YEAR (SY) 2025 - 2026 event, in accordance with
the provisions of Republic Act No. 10173 otherwise known as the Data
Privacy Act of 2012;
9. I agree and understand the commitment of my child/ward as a participant
and will support his/her endeavor to meet the expectations, guidelines,
and responsibilities with his/her fellow participants and to DepEd;
10.To the extent allowed by law and rules, I hereby agree to waive, release,
and discharge any and all claims, causes of action, damages and rights
against DepEd relative to the conduct of the activity;
11.With full understanding, I hereby freely and voluntarily give my consent to
my child/ward's participation in the activity. I also attest that I had sought
the views of my child and he/she has expressed a willingness to
participate in the activity; and
12.By signing below, I acknowledge and represent that I have read this
document, took time to understand it, and eventually sign it voluntarily as
my own free act and deed.
Signed this __________________ day of ______________________________ 2025 at
______________________________________,Philippines.
__________________________________ ________________________________
Signature over Printed Name of Contact Details (Mobile
Number)
Parent/Guardian
__________________________________ ________________________________
Name of Child/Ward Date
__________________________________ ________________________________
Address Home/Mobile Number
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LEARNER-PARTICIPANT CONSENT, WAIVER, INDEMNITY and RELEASE
1. I, ______________________________ , agreed to participate with the consent of
my parents and/ or legal guardian in the PUNLA 2024 to be conducted by the
School Governance and Operations Division-Youth Formation Division (SGOD-
YFD) of the City Schools Division of Tanauan on October 11-12, 2024 at
Leonida’s Resort, Talisay, Batangas;
2. I give permission to the DepEd and its representatives to make recordings of
my voice and to take photographs and/or videos in which I appear in, to be
used for the communications and various public campaigns of the Agency be
it in print, broadcast, and/ or electronic media, at the event and location
stated above subject to limitations of applicable and relevant laws, rules, and
regulations;
3. I conform/agree to the collection and/or processing of any personal
information and data, that are necessary to successfully host the PUNLA 2024
event, in accordance with the provisions of Republic Act No. 10173 otherwise
known as the Data Privacy Act of 2012;
4. I have read and understood completely the memorandum, and therefore
know the purpose of the activity and my participation therein; and
5. With full understanding, I hereby freely and voluntarily give my consent to my
participation in the activity.
__________________________________ ________________________________
Signature over Printed Name of Name of School
Learner-Participant
__________________________________ ________________________________
Age Date
__________________________________ ________________________________
Address Home/Mobile Number
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