Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

College of Engineering

PARENT’S CONSENT

I, __________________________________________________, parent or guardian of

_________________________________, a student of the College of Engineering at LSPU
Siniloan Campus (___Course/Yr/Section__) do hereby allow my son/daughter/ward to join and
participate in the limited face-to-face classes for the First Semester of AY 2022-2023.

It is understood that my son/daughter/ward will follow the policies and guidelines set by the
University and abide by the rules and regulations imposed by the College for his/her welfare and
safety.

Signature
Name of Signatory
Relationship of signatory to student
Date signed

LSPU-ACAD-SF-020 Rev. 0 10 Aug 2016