Basic Education Department
Grade School & Junior High School
900 San Marcelino St., Ermita, Manila, Philippines
Tel Nos. 5242011 loc. 108 Fax No. 5216832
PRINCIPAL’S COPY
PARENTS CONSENT AND WAIVER
Date: ___________________________
I, ___________________________________________, the undersigned, allow my ward
__________________________________ of _____________________ to participate in the upcoming Basic Education
Department’s EDUCATIONAL FIELD TRIP: Grade School on January 8, 2024 and JHS on January 10, 2024.
I also expressed my willingness to pay the amount of ONE THOUSAND FIVE HUNDRED FIFTY PESOS (PhP1,550.00) for
his/her Field Trip fee.
I understand that the school authorities have employed all the necessary precautions in ensuring the safety of my ward
during the said activity and does not hereby release or hold the school and its officials free from any liability for any untoward
incident that shall involve my ward during field trip provided that, such incident is really foreseeable or known or attributable to the
school.
______________________________________
Destination: Signature over Printed Name of Parent/Guardian
KIDZ Discovery Date of Signing: _________________________
Camp
Contact No.: ____________________________
San Jose del Monte,
Bulacan
Noted by: Approved by:
Mrs. Jocelyn S. Dela Cruz, LPT Ms. Lorna A. Espeso, LPT, Ph.D.
Students Activities Coordinator GS and JHS Principal
-----------------------------------------------------------------------------------------------
Basic Education Department
Grade School & Junior High School
900 San Marcelino St., Ermita, Manila, Philippines
Tel Nos. 5242011 loc. 108 Fax No. 5216832
PARENTS CONSENT AND WAIVER STUDENT’S COPY
Date: ___________________________
I, ___________________________________________, the undersigned, allow my ward
__________________________________ of _____________________ to participate in the upcoming Basic Education
Department’s EDUCATIONAL FIELD TRIP: Grade School on January 8, 2024 and JHS on January 10, 2024.
I also expressed my willingness to pay the amount of ONE THOUSAND FIVE HUNDRED FIFTY PESOS (PhP1,550.00) for
his/her Field Trip fee.
I understand that the school authorities have employed all the necessary precautions in ensuring the safety of my ward
during the said activity and does not hereby release or hold the school and its officials free from any liability for any untoward
incident that shall involve my ward during field trip provided that, such incident is really foreseeable or known or attributable to the
school.
______________________________________
Destination: Signature over Printed Name of Parent/Guardian
KIDZ Discovery Date of Signing: _________________________
Camp Contact No.: ____________________________
San Jose del Monte,
Bulacan
Noted by: Approved by:
Mrs. Jocelyn S. Dela Cruz, LPT Ms. Lorna A. Espeso, LPT, Ph.D.
Students Activities Coordinator GS and JHS Principal