Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
SCHOOLS DIVISION OF BAYAWAN CITY
Tayawan National High School
Tayawan,Bayawan City, Negros Oriental

PARENTAL CONSENT
I / We, hereby willingly and voluntarily give consent to the participation of my
son/daughter __ __ during the Batang Henyo competition to be held at
Brgy. Tinago gym, Tinago, Bayawan City on July 19, 2019..

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care precaution will be observed to
ensure the comfort and safety of the contestant/s and that DepEd employees and personnel may
not be held responsible for any untoward incident that may happen beyond their control.

_____________________________________
Signature of Guardian/Parents over Printed name

Verified by:

GERLIE T. AUSAN
Principal – I

_________________________________________________________________________________________

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
SCHOOLS DIVISION OF BAYAWAN CITY
Bayawan City, Negros Oriental

PARENTAL CONSENT

I / We, hereby willingly and voluntarily give consent to the participation of my

son/daughter__ _ during the Batang Henyo Competition to be held at
Brgy. Tinago gym,tinago, Bayawan City, Negros Oriental on July 19, 2019.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care precaution will be observed to
ensure the comfort and safety of the contestant/s and that DepEd employees and personnel may
not be held responsible for any untoward incident that may happen beyond their control.

______________________________________
Signature of Guardian/Parents over Printed name

Verified by:

GERLIE T. AUSAN
Principal - I
 Republic of the Philippines
Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Bayawan City East Central School
Brgy. Tinago, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Keifer Carl Lamis in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Earl Duka Jacquiline Lamis

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :
 MARY GRACE N. GUERRERO
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Bayawan City East Central School
Brgy. Tinago, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Roberto Altares III in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Roberto Altares Daisy Banogon

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

MARY GRACE N. GUERRERO

Teacher-Adviser/School Head/Registrar
 Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Nangka Elementary School
Brgy. Nangka, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Rocky Rivas in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Lorna Rivas
Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ROSEMARIE ORACION
Teacher-Adviser/School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Nangka Elementary School
Brgy. Nangka, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Jethro S. Alit in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Johndel Alit Rosalie S. Alit

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ROSEMARIE ORACION
Teacher-Adviser/School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Banga Central School
Brgy. Banga, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Earole M. Alipa in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Emeliano Alipa Belen Alipa

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

CORAZON D. CADALSO
Teacher-Adviser/School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Ali – is Elementary School
Brgy. Ali – is, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter John L. Escorial in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Henaro L. Escorial Elizabeth L. Escorial

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEFREY N. TITO
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
 Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Mark L. Maata in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Marlon Maata Agnis Maata

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.
 PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Jordan A. Baynosa Jr. in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Jordan Baynosa Maribeth Baynosa

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.

PARENTAL CONSENT
 I / We hereby willingly and voluntarily give consent to the participation of my
son/daughter Kurt Russel G. Ojastro in the Division Meet.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Dante Ojastro Jonelyn Ojastro

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Nilo L. Lucasan Jr. in the Regional Meet and Palarong Pambansa.
 I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Nilo A. Lucasan Lucy L. Lucasan

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Romulo M. Embodo Jr. in the Division Meet.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.

________________________________ ________________________________
Signature of Father Signature of Mother

Romulo Embodo Antonieta M. Embodo

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks:

Republic of the Philippines

Department of Education
Region XVIII, Negros Island
Division of Bayawan City
Gamao Elementary School
Brgy. Narra, Bayawan City, Neg. Or.

PARENTAL CONSENT

I / We hereby willingly and voluntarily give consent to the participation of my

son/daughter Khem Jerrald C. Clan in the Regional Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care 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.
________________________________ ________________________________
Signature of Father Signature of Mother

Raul Clan Jenely Clan

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JEDELYN D. NUIQUE
Teacher-Adviser/School Head/Registrar

Remarks: