Republic of the Philippines

Department of Education
REGION X-NORTHERN MINDANAO
SCHOOLS DIVISION OF MISAMIS ORIENTAL
CLAVERIA NORTH EAST DISTRICT
APOSKAHOY 2 ELEMENTARY SCHOOL

PARENTAL
CONSENT
I / We ___________________________________ hereby willingly and voluntarily give my
FORM
consent for my child ____________________________________, to participate in the research

study of Ms. Jenelyn B. Budiongan, Grade 6 – Teacher entitled “Math S.H.O.W.: An

Intervention to Improve the Fraction Skills of Grade 6 Pupils of Aposkahoy 2

Elementary School”.

I / We have considered the benefits that my son / daughter will derive from his / her

participation in this study provided that health and safety protocols will be observed and that the

Department of Education employee and personnel may not be held responsible for any untoward

incident that may happen beyond their control.

This consent is signed this ________ day of _____________, 2022 at

______________________________________________.

_______________________________ _______________________________
Signature of Father Signature of Mother

_______________________________ _______________________________
Name of Father Name of Mother

_______________________________
Signature of Guardian

_______________________________
Name of Guardian

Address: Impakibel, Aposkahoy, Claveria, Misamis Oriental

Telephone Nos.: 0906-828-5874
Email: 127635@deped.gov.ph
Address: Impakibel, Aposkahoy, Claveria, Misamis Oriental
Telephone Nos.: 0906-828-5874
Email: 127635@deped.gov.ph