PARENTAL CONSENT FORM

Dear parent/s / guardian:

In line with the Department of Education-released Most Essential Learning Competency

Code - STEM_GP12EMIIIe-45 Operate devices including measuring currents and voltages, I
would like to ask your help and support to provide our learners with one of the most essential
hands-on-minds-on learning activity.
Activity involves the following materials which can be purchased on-line (estimated
delivery is 5days to 7days – free delivery thru Shopee App) or can be purchased in any
electronic shops in our city (prices may vary).

1 x 9v battery 1 x small breadboard 5 x different resistors 1 x potentiometer

LEDs (optional) 9V battery snap (optional) Multimeter (optional) several jumper wires

Please take part in the options below and sending back the reply slip through
CANVAS. You can also get a selfie with this form with your thumbs up for a positive response
on this matter. Thank you and God bless.

Very truly yours,

JENIEVIE E. DATUIN
General Physics II - Teacher

REPLY SLIP

Name of Child: ________________________ Section: ______________________________

Signature of Parent/Guardian over Printer Name: _______________________ Date: ______

☐ Yes, I can provide the materials and I believe this is beneficial for his/her learning in basic electronics.

☐ No, I cannot provide the materials due to the following reason/s ________________________________________