Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF AGUSAN DEL SUR
PATIN-AY NATIONAL HIGH SCHOOL

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________________________________
Signature of Parent/Guardian over Printed name

Verified by:
ARLIN M. BATAUSA, Ph.D
Principal III

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF AGUSAN DEL SUR
PATIN-AY NATIONAL HIGH SCHOOL

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________________________________
Signature of Parent/Guardian over Printed name

Verified by:
ARLIN M. BATAUSA, Ph.D
Principal III

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
DIVISION OF AGUSAN DEL SUR
PATIN-AY NATIONAL HIGH SCHOOL

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son_______________________in the JDA
Basketball Tournament 2019 at San Francisco, Agusan del Sur on February - March, 2019
I have considered the benefits that my son will derive from his participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my son and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________________________________
Signature of Parent/Guardian over Printed name

Verified by:
ARLIN M. BATAUSA, Ph.D
Principal III