Department of Education

Region 02
Division of Isabela
Quirino District
LUNA-SUERTE ELEMENTARY SCHOOL
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my
son/daughter _____________________________________ in the 2016 Quirino District Joint BSP
Camp Oral and GSP Encampment to be held at Quirino Public Market on November 1820, 2016.
I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care and precaution will be
observed to ensure the comfort and safety of the delegation and that DepEd employees
and personnel may not be held responsible for any untoward incident that may happen
beyond their control.
Conforme:
________________________________________
(Signature over printed name of parent/guardian)
Verified by:
IMELDA CELESTINA H. VIDEZ
LAMORENA
GSP Adviser

JEAN-ROSE B.
GSP Adviser

Department of Education
Region 02
Division of Isabela
Quirino District
LUNA-SUERTE ELEMENTARY SCHOOL
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my
son/daughter _____________________________________ in the 2016 Quirino District Joint BSP
Camp Oral and GSP Encampment to be held at Quirino Public Market on November 1820, 2016.
I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care and precaution will be
observed to ensure the comfort and safety of the delegation and that DepEd employees
and personnel may not be held responsible for any untoward incident that may happen
beyond their control.
Conforme:
________________________________________
(Signature over printed name of parent/guardian)
Verified by:
IMELDA CELESTINA H. VIDEZ
LAMORENA
GSP Adviser

JEAN-ROSE B.
GSP Adviser