REPUBIC OF THE PHILIPPINES)

BAGUIO CITY) S.S.

ACKNOWLEDGEMENT

BEFORE ME, This_____ day of February, 2020 in Baguio City, Philippines

personally ______________________________, known to me to be the same person
who signed the foregoing instrument and identified through her government issued ID,
and she acknowledged that she signed the same on her free and voluntary will and
deed.

The CO-CURRICULAR ACTIVITY PARENT CONSENT FORM consists of two

(2) pages including this page on which this acknowledgement is written.

WITNESS MY HAND AND SEAL this ____ day of February, 2020 in Baguio
City, Philippines.

Doc. No._____;
Page No._____;
Book No._____;
Series of 2020.