Republic of the Philippines
DEPARTMENT OF EDUCATION
________________________
(Region)
______________________________
(Division)
______________________________
(School)
______________________________
(School Address)
_______________
Date
P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter _____________________________________________________ in
the Division, Regional Meet and Palarong Pambansa.
I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to
ensure the comfort and safety of my son/daughter and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.
Signature of Father Signature of Mother
Name of Father Name of Mother
Signature of Guardian over Printed name
(Relationship with the Athlete)
Verified by :
__________________________________________________
Teacher-Adviser/School Head/Registrar
Remarks:
Note:
If No Parent/s, submit Affidavit of Guardianship duly verified by the coach and
teacher.
If parents are abroad, Special Power of Attorney (SPA) is needed.
FOR PALARONG PAMBANSA ONLY
