Department of Education

Region III
Division of Zambales
District of Subic

JOSEPHINE F. KHONGHUN SPECIAL EDUCATION CENTER

PARENTS CONSENT
Over 600 million school-age children are at risk of being infected with parasitic worms. These infections are
chronic and widespread, harming childrens health and development and limiting their participation in school.
School-based deworming is universally recognized as a safe, simple and cost-effective solution. The
benefits of school-based deworming are both immediate and enduring. Regular treatment can reduce school
absenteeism by 25% and increase adult earnings by over 20%, and at a cost of less than 50 US cents per child per
year according to studies.
Your child belongs to millions of school-children who need basic health care such as deworming. This letter
requests your permission, as his/her parent/legal guardian to provide that care. This program is being taken cared of
by the Logal Government of Subic together with the Department of Education.
Please check the box of your choice and affix your signature.
I understand that my child, _________________________________ needs to receive the deworming
services and I give my consent for this.
I do not give my consent for this service.

________________________________________
Parents Signature Over Printed Name

Date: ______________________