You are on page 1of 1

Parent Consent Parent Consent

Grade and Section___________________ Grade and Section___________________


Pinapayagan ko ang aking anak na si Pinapayagan ko ang aking anak na si
_____________________________________ _____________________________________
na mabigyan ng mga sumusunod: na mabigyan ng mga sumusunod:

Bakuna (MR-Td) August 2017 (Grade 7) Bakuna (MR-Td) August 2017 (Grade 7)

Purga (July 2019 and January 2020) Purga (July 2019 and January 2020)

WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10 WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10

___________________________________ ___________________________________
Pangalan at Lagda ng Magulang Pangalan at Lagda ng Magulang
Date: ____________________ Date: ____________________

Parent Consent Parent Consent

Grade and Section___________________ Grade and Section___________________


Pinapayagan ko ang aking anak na si Pinapayagan ko ang aking anak na si
_____________________________________ _____________________________________
na mabigyan ng mga sumusunod: na mabigyan ng mga sumusunod:

Bakuna (MR-Td) August 2017 (Grade 7) Bakuna (MR-Td) August 2017 (Grade 7)

Purga (July 2019 and January 2020) Purga (July 2019 and January 2020)

WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10 WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10

___________________________________ ___________________________________
Pangalan at Lagda ng Magulang Pangalan at Lagda ng Magulang
Date: ____________________ Date: ____________________

Parent Consent Parent Consent

Grade and Section___________________ Grade and Section___________________


Pinapayagan ko ang aking anak na si Pinapayagan ko ang aking anak na si
_____________________________________ _____________________________________
na mabigyan ng mga sumusunod: na mabigyan ng mga sumusunod:

Bakuna (MR-Td) August 2017 (Grade 7) Bakuna (MR-Td) August 2017 (Grade 7)

Purga (July 2019 and January 2020) Purga (July 2019 and January 2020)

WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10 WIFA (Weekly Iron Folic Acid/Babae lamang Grade 7-10

___________________________________ ___________________________________
Pangalan at Lagda ng Magulang Pangalan at Lagda ng Magulang
Date: ____________________ Date: ____________________

You might also like