Republic of the Philippines

Department of Education
National Capital Region
Schools Division Office of Taguig City and Pateros
SENATOR RENATO “COMPAÑERO” CAYETANO
MEMORIAL SCIENCE AND TECHNOLOGY HIGH SCHOOL

PARENT CONSENT FORM

I, parent / guardian of a
(Name of Parent/Guardian) (Name of Student)

student from hereby give my consent to

(Grade Level and Section) (Name of School)

and the designated teachers of my child to:

1. Conduct online interaction through whatever social media platforms with my child
for any distance learning activities
2. To keep a record of online interaction with my child, whenever recording is made
3. To take snapshots/images/videos which may include my child’s image for
documentation and other lawful purposes
4. To post in the official school social media page/webpage/private social media group:
the image, name, and section of my child, as well as any acknowledgement/awards
that he/she is entitled
5. Other similar processing of information of mu child for any activities sanctioned by
DepEd.

Date Signed Signature over Printed Name

31st cor. 51stStreet, PDS, BCDA, Ususan, Taguig City

(02) 8828-0140
sdotapat.srccmsths@deped.gov.ph
www.depedtaguigpateros.com