Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION VII, CENTRAL VISAYAS
(Region)
NEGROS ORIENTAL
(Division)
SAN JOSE PROVINCIAL HIGH SCHOOL
(School)
POBLACION SAN JOSE, NEGROS ORIENTAL
(School Address)

05/18/2022
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the

participation of my/our son/daughter _______________________
to the General Rehearsal of Galaw Pilpinas on May 19, 2022, and
on the same date is the Launching of Galaw Pilipinas at 3 o’clock
in the afternoon at San Jose Provincial High School.

I/We have considered the benefits that my son or daughter

will derive from his/her participation in this activity provided that
due care, diligence and necessary precautions will be observed to
ensure his/her health and safety.

Signature of Father Over Signature of Mother Over

Printed Name Printed Name