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Department of Education

Region IV-A CALABARZON


Division of Quezon
SAN RAFAEL NATIONAL HIGH SCHOOL
Atimonan, Quezon

PARENTAL

CONSENT

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


my/our son/daughter ____________________________________ in the DISTRICT YES-O
CAMP 2016 to be held on January 16, 2016 at Atimonan National
Comprehensive High School, Atimonan, Quezon .
I have considered the benefits that my son/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 Parents/Guardian
Verified by:
Maria Cherry R. Merle

Antonio D.

Revillame
Yes-O Coordinator

Principal I

Department of Education
Region IV-A CALABARZON
Division of Quezon
SAN RAFAEL NATIONAL HIGH SCHOOL
Atimonan, Quezon

PARENTAL

CONSENT

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


my/our son/daughter ____________________________________ in the DISTRICT YES-O
CAMP 2016 to be held on January 16, 2016 at Atimonan National
Comprehensive High School, Atimonan, Quezon .
I have considered the benefits that my son/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 Parents/Guardian
Verified by:

Maria Cherry R. Merle


Revillame

Yes-O Coordinator

Antonio D.
Principal I

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