Republic of the Philippines

Department of Education
Region V-Bicol
Division of Camarines Norte
LARAP NATIONAL HIGH SCHOOL
Barangay Larap, Jose Panganiban

PARENTAL CONSENT FORM

In connection to my son/daughter’s participation in the MAPEH Culminating Activity on March __, 2019
at Larap National High School, I understand the potential risks of injury and the responsibilities of my son or
daughter while participating in this program.
I hereby grant my permission for my son or daughter to participate in cheerleading. I also give permission
for my son or daughter to receive medical treatment in case of injury during the performance.

DATE: ______________________

PARENT’S NAME: _______________________________

PARENT’S SIGNATURE: ___________________________

Republic of the Philippines

Department of Education
Region V-Bicol
Division of Camarines Norte
LARAP NATIONAL HIGH SCHOOL
Barangay Larap, Jose Panganiban

PARENTAL CONSENT FORM

In connection to my son/daughter’s participation in the MAPEH Culminating Activity on March __, 2019
at Larap National High School, I understand the potential risks of injury and the responsibilities of my son or
daughter while participating in this program.
I hereby grant my permission for my son or daughter to participate in cheerleading. I also give permission
for my son or daughter to receive medical treatment in case of injury during the performance.

DATE: ______________________

PARENT’S NAME: _______________________________

PARENT’S SIGNATURE: ___________________________