No.

:2018106
853_______

Parental Consent Form for Online Activity

Name of Student Organization: Biological Society

Name of Activity: Biological Society General Assembly 2021-2022

Nature of Activity: Co-Curricular Extra-Curricular

Online Platform: Zoom Meeting Google Meet Others: __________________

Inclusive Dates: November 13, 2021

I allow my son/daughter to attend the online activity.

I trust that the organizers of this activity will take due diligence to ensure the safety of my son/daughter
as a participant.

I do not allow my son/daughter to attend the online activity.

Name of Student: Jerico B. Soriano

Name of Parent/Guardian: Jennifer B. Soriano

Phone/Cell phone number: 09474200515

Address: Sta. Rita Guiguinto Bulacan

Signature: ________________________________________________________________________

*Please attached a scanned copy of Identification Card (ID) of the

parent/guardian.

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