LYCEUM OF THE EAST-AURORA

Brgy. Florida, Maria Aurora, Aurora 3202

I/We hereby willingly and voluntarily give consent to the participation of my son/daughter,
(Name of Student)

in the Immersion project of Lyceum of the East-aurora as part of their culminating activity as
a Senior High school student.

I am aware that my son/daughter will be gathering data in our local community/Barangay.

I/We have considered the benefits that my son/daughter will acquire from his/her participation in this
activity, provided that due care and precaution will be observed to ensure the safety of my
son/daughter and that the Lyceum of the East-Aurora, management and employees will not be held
liable for any untoward incident that may happen beyond their control.

Signed this __________ day of March, 2021 @ Lyceum of the East-Aurora, Maria aurora,
Aurora, Philippines.

________________________________
Parents/Guardian

Recommending Approval: Approved by:

Ricardo a. Subad Cristel Anne A. Llamador

Teacher/Adviser Principal

Attested by:
Rodante A. Marquez
Acting Chief Academic Officer