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Parental Consent

This document is a parental consent form for a student's participation in a school intramural meet. It outlines the parents' agreement to their child's involvement in the event while ensuring health and safety precautions are observed. Additionally, it authorizes the Department of Education to handle the athlete's personal information in compliance with the Data Privacy Act of 2012.

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Gina Escueta Cornista
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8 views1 page

Parental Consent

This document is a parental consent form for a student's participation in a school intramural meet. It outlines the parents' agreement to their child's involvement in the event while ensuring health and safety precautions are observed. Additionally, it authorizes the Department of Education to handle the athlete's personal information in compliance with the Data Privacy Act of 2012.

Uploaded by

Gina Escueta Cornista
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)
__________________________
(Division)

(School)
____ ____
(School Address)

Date

PARENTAL CONSENT

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


my/our son/daughter in in
(Name of athlete) (Sport event)
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 Printed Name Signature of Mother Over Printed Name

Verified:

Adviser School Head/Registrar


(Signature Over Printed Name) (Signature Over Printed Name)

Remarks:

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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