Republic of the Philippines}

CITY OF ORMOC}S.S.

AFFIDAVIT OF CONSENT
I, ____________________________, of legal age, Filipino, and a resident of
________________, after having been duly sworn to in accordance with law, hereby
deposed and say, THAT:
1. I am the parent/guardian of ___________________ who is currently enrolled
at ______________ this semester of SY ____________________;

2. I am aware that he/she is an athlete of MODERN PENTATHLON for this coming

30th Southeast Asian Games which the Philippines will be hosting on November
30 to December 11, 2019 to be held in Subic.

3. I hereby give my parental consent to my child ________________________ to

participate the said event together with his/her coach/es, namely:
_____________________;

4. I am executing this affidavit to attest to the veracity of the foregoing facts and
circumstances and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

___________ 2019 in Ormoc City, Philippines.

__________________________
Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of _________ 2019

in Ormoc City, affiant exhibiting to me his ______________ bearing number
_____________ issued on _____________ in Ormoc City.

Doc. No.:
Page No.:
Book No.:
Series of 2019.