DOÑA REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION, INC.

COLLEGE OF NURSING
Tacloban City

January 9, 2021

Ma. Concepcion B. Sekito

Clinical Instructor
College of Nursing

Good day!

I, KAREN IRENE B. DAMES allow NICOLEIGH VALERIE B. DAMES to attend their

RLE Activity in NCM 112: Medical Surgical Nursing re: Return Demonstration on Surgical
Scrubbing/Handwashing, Gloving, and Gowning that will be held at Dona Remedios
Trinidad Romualdez Medical Foundation on January 11, 2021 at 9:00 AM under the
supervision of Ms. Ma. Concepcion Sekito, clinical instructor.

I am fully aware that COVID-19 protocols will be followed to ensure the safety of my
daughter/son and the students who will also be attending such as a schedule to be
followed specifically on the certain number of students who will go to school and a
holding area will be provided before the start of return demonstration to avoid
crowding.

KAREN IRENE B. DAMES

Parent’s Signature over printed name

Mobile Number: 09123456789

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