PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to my/our son/daughter

__________________________________________, ________________________________
Complete Name
Grade/Track/Strand/Section

to have his/her Capstone Project in _______________________________________________,

from ________________________ to ________________ , _________________ until

Start Date End Date Start Time

__________________.
End Time

I/We have considered the benefits that my/our son/daughter will gain from this Capstone

Project, provided that due care and precaution will be observed to ensure my/our child’s security

and safety and that no Deped teacher/ personnel shall be held responsible for any untoward

incident that may happen beyond their control.

Signed this ________ day of _______________________, 2021 for Work Immersion

purposes

__________________________________ __________________________________

SIGNATURE OF FATHER OVER PRINTED NAME SIGNATURE OF FATHER OVER PRINTED NAME

Contact No. ________________________ Contact No. _________________________

____________________________________

SIGNATURE OF GUARDIAN OVER PRINTED NAME

Contact No. __________________________