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Parental Consent

This document is a parental consent form for a student's participation in a school intramural meet at Buena Gracia National High School in the Philippines. Parents acknowledge the benefits of their child's involvement and authorize the collection and processing of personal information in accordance with the Data Privacy Act of 2012. It includes spaces for signatures of both parents and verification by school personnel.

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6 views1 page

Parental Consent

This document is a parental consent form for a student's participation in a school intramural meet at Buena Gracia National High School in the Philippines. Parents acknowledge the benefits of their child's involvement and authorize the collection and processing of personal information in accordance with the Data Privacy Act of 2012. It includes spaces for signatures of both parents and verification by school personnel.

Uploaded by

emilouamparo102300
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region XIII
Schools Division of Agusan del Sur
BUENA GRACIA NATIONAL HIGH SCHOOL
Buena Gracia, Talacogon, Agusan del Sur,
Philippines
School ID: 317433

Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of


my/our son/daughter in for
(Name of athlete) (Sport event)
our School Intramural Meet.

I/We have considered the benefits that my son or daughter will derive
from his/her participation in this activity provided that due care, diligence and
necessary precautions will be observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to


collect, process, retain, and dispose of personal information of the above-
mentioned athlete in accordance with the Data Privacy Act of 2012.

Signature of Father Over Signature of Mother Over Printed


Printed Name Name

Verified:

VILY M. SALMORIN
Adviser School Head
(Signature Over Printed Name) (Signature Over Printed Name)

Note:
Submit the necessary documents, i.e. Affidavit/Sworn Statement of Actual Care and
Custody duly verified by the adviser and school head, in cases signature of parents
are unavailable.

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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