West Visayas State University

Lambunao Campus
College of Education
Ladrido Street, Poblacion Ilawod
Lambunao, Iloilo, Philippines
*Trunkline: (033) 533-8053 loc 123*Telefax No: (033) 533-8353
*Website:www.wvsu.edu.ph *Email Address: lambunao@wvsu.edu.ph

FIELDTRIP PERMIT FORM

As parent/legal guardian of MARY J-ANN L. ROSALIA BSED II-ENGLISH , I

Students’ Name Course, Yr. & Sec.

grant permission for him/her to participate in the fieldtrip described below.

FIELDTRIP INFORMATION

Destination : Rosendo Mejica Museum in Baluarte, Molo, Iloilo City

Nature or purpose of the trip: The purpose of this trip is to provide your child with the
opportunity to personally see the huge printing equipment of the early 20th century in Iloilo; to
discover the first ever newspaper and Jose Rizal’s literary pieces translated and written in local
language; and know how the founder and the Makiunagalingon printing press spread literature
to the public.

Date/Time Leaving: June 30, 2021, 6:30 A.M. Date/Time Returning: June 30, 2021, 3:00
P.M.

Mode of Transportation: Pretty Boy Mini Bus(es)

Sponsors/Chaperons: Pretty Boy, Ronken Store and Lambunao National High School/
Teacher Medali Legario, Teacher Librodo and Professor Ma. Ceciliene B. Leda

Cost of Trip per Child: P60.00 (entrance fee and transportation’s gas fee)

Your child should bring his/her lunch, notebook and ballpen. Snacks is free and
sponsored by Ronken Store.

In case of emergency, please contact me at .

Parent/Guardian’s Phone Number
 West Visayas State University
Lambunao Campus
College of Education
Ladrido Street, Poblacion Ilawod
Lambunao, Iloilo, Philippines
*Trunkline: (033) 533-8053 loc 123*Telefax No: (033) 533-8353
*Website:www.wvsu.edu.ph *Email Address: lambunao@wvsu.edu.ph

Signature of Parent/Guardian over Printed Name Date