You are on page 1of 2

Republic of the Philippines Republic of the Philippines

Department of Education Department of Education


REGION VI- WESTERN VISAYAS REGION VI- WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO SCHOOLS DIVISION OF ILOILO
DINGLE CENTRAL ELEMENTARY SCHOOL DINGLE CENTRAL ELEMENTARY SCHOOL
POBLACION, DINGLE, ILOILO POBLACION, DINGLE, ILOILO

PARENT’S/GUARDIAN’S CONSENT PARENT’S/GUARDIAN’S CONSENT

Date: __________ Date: __________


To Whom It May Concern: To Whom It May Concern:

I ____________________ hereby allow I ____________________ hereby allow


my child _________________ of __________ my child _________________ of __________
to attend face to face mode of class for school to attend face to face mode of class for school
year 2021-2022. I am aware of the benefit my year 2021-2022. I am aware of the benefit my
child shall derive from with this learning child shall derive from with this learning
modality. modality.
I shall not held the person responsible I shall not held the person responsible
or the school they represent for whatever or the school they represent for whatever
circumstances they may encounter circumstances they may encounter

____________________________________ ____________________________________
Signature over printed name of Parent/ guardian Signature over printed name of Parent/ guardian

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
REGION VI- WESTERN VISAYAS REGION VI- WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO SCHOOLS DIVISION OF ILOILO
DINGLE CENTRAL ELEMENTARY SCHOOL DINGLE CENTRAL ELEMENTARY SCHOOL
POBLACION, DINGLE, ILOILO POBLACION, DINGLE, ILOILO

PARENT’S/GUARDIAN’S CONSENT PARENT’S/GUARDIAN’S CONSENT

Date: __________ Date: __________


To Whom It May Concern: To Whom It May Concern:

I ____________________ hereby allow I ____________________ hereby allow


my child _________________ of __________ my child _________________ of __________
to attend face to face mode of class for school to attend face to face mode of class for school
year 2021-2022. I am aware of the benefit my year 2021-2022. I am aware of the benefit my
child shall derive from with this learning child shall derive from with this learning
modality. modality.
I shall not held the person responsible I shall not held the person responsible
or the school they represent for whatever or the school they represent for whatever
circumstances they may encounter circumstances they may encounter

____________________________________ ____________________________________
Signature over printed name of Parent/ guardian Signature over printed name of Parent/ guardian

You might also like