Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Division of Cauayan City

PARENTAL CONSENT

I/we hereby willingly and voluntarily give consent to the participation of our
son/daughter_____________________________________________________in the webinar
on Leadership Training cum Cyber safety Orientation on May 26, 2021.

I/we have considered the benefits that my son/daughter will derive from his/her
participation in this activity provided that due care precaution will be observed to ensure the
comfort and safety of my son/daughter and that DepEd employees and personnel may not be
held responsible for any untoward incident that may happen beyond their control.

______________________________________
Learner’s Name and Signature

Date:__________________________________

______________________________________
Parent’s Name and Signature

Date:__________________________________

Address: Barangay Turayong, Cauayan City, Isabela 3305

Telephone Nos.: (078) 652-1614
Email Address: cauayancity@deped.gov.ph
Website: depedcauayan.wordpress.com