ANNEX “A”

MUNTINLUPA BUSINESS HIGH SCHOOL – SUCAT ANNEX

M.L. Quezon St., Purok 4 Sucat, Muntinlupa City

CONSENT FORM

Name of Pupil/Student:

Grade Level:

Name of Parent/Guardian:

I hereby give my consent to MUNTINLUPA BUSINESS HIGH SCHOOL – SUCAT ANNEX

and the designated teachers of my child/ward to:

1. Conduct online interaction through whatever social media platforms with my child/ward
for any distance learning activities;
2. To keep a record of online interaction with my child/ward, whenever recording is made;
3. To take snapshots/images/videos which may include my child’s/ward’s
image for documentation and other lawful purposes;
4. To post in the official school social media page/web page/private social media group;
the image, name, and section of my child/ward, as well as any acknowledgement/awards
that he/she is entitled;
5. Other similar processing of information of my child/ward for any activities sanctioned by
DepED.

Date Signed Signature over Printed Name of

Guardian/Parents
 ANNEX “B”

CONFIDENTIALITY AGREEMENT

I, (name of parent representative) is the duly authorized

representative of the HRPTA of
(Section) (school) and designated as the
HRPTA Observer in the private social media learning group.
As observer, I promise to abide by the following:
1. I shall keep all information discussed in the social media group with
utmost confidentiality and shall not divulge any information to any other
person, except any perceived violation of the Child Protection Policy/Anti-
Bullying Policy directly to the Guidance Counselor only;
2. I shall not take any images/snap shots of any conversations, images,
videos or whatever material in the group, except for reporting purposes to
the Guidance Counselor only;
3. I shall not take any detail of any learner and shall not contact any members
of the group;
4. That I understand that I can face civil or criminal charges if I violate this
Agreement.
Done this (date) at
(City).

Signature Over Printed Name