PARENT/GUARDIAN’S CONSENT

Name of Student: ______________________________________

Grade Level and Section: GRADE 12-STEM D
Track and Strand: ACADEMICS/STEM
Adviser: MS. MARICAR D. VILLARROYA
Age: _____________
Sex: _____________
Contact Number: _____________________________

I as a parent/guardian of the child, has fully understand the following:

_______ That, the name and photo of my child uploaded and sent to the adviser will ONLY
be used for Guardian/Moving-Up Ceremony of Rizal High School on July 14, 2021.
_______ That the name and photo of my child will be shown in the FB Live Stream of the official
page of the school for the 2021 Virtual Graduation.
_______ That, I am giving my full consent as regards to the utilization of name and photo of my
child during the presentation of Virtual Ceremony as governed by the rules and policies of the
Data Privacy Act.

_________________________________
Name and Signature of Parent/Guardian

Date: _____________________