Professional Documents
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/
Ser
vicest
oGodandCommuni
ty 141–14310thAvenue,Cal
oocanCi
ty
Met
ro
Manil
a,Phi
li
ppi
nes
365-
4743,367-
7502,367-
7501
SENI
ORHI
GHLEVEL
PARENT/
GUARDI
AN/
CAREERCONSENTFORM
Nameofst
udent
:Ry
anSol
omonRonqui
l
lo Age:
17
NameofPar
ent
/Guar
dian:Jocel
ynRonqui
ll
o
Addr
ess:103AgnoSt
reet6t
hAv
enueCal
oocanCi
ty
Mobi
leno.
:09272890395/
09925135911
Pleasei
ndicat
eanymedi
cal
condi
ti
ons/
all
ergi
es/
medi
cat
ionsoft
hechi
l
dthatt
het
eacher
/coach/
trai
ner
shouldknow.
.
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Emer
gencycont
actdet
ail
s:(
Ifdi
ff
erentf
rom abov
e)
Name:
Jocel
ynRonqui
ll
o Tel
ephoneno:None
Rel
ati
onshi
ptochi
l
d:Son
CONSENT(
pleaser
eadcar
eful
l
y)
Si
gned:
Jocel
ynRonqui
ll
o(Par
ent
/Guar
dian)
Dat
e:Apr
il30,
2022