Republic of the Philippines

Department of Education
___________________________
___________________________
_____________________________________________________________
__________________________________

April 1, 2022

PARENTAL CONSENT

I/ We hereby willingly and voluntarily give our consent to the participation of my/our son/daughter
__________________________ to join the Basketball and Volleyball Tournament held on April 4-18, 2022 from 5:30 PM-
11:00 PM at _________________. I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care and precaution will be observed to ensure the comfort
and safety of our child and that DepEd employee and personnel may not be held responsible for any untoward incident
that may happen beyond their control.

_________________________ ________________________
Signature of the Father Signature of the Mother

_________________________ ________________________
Name of Father Name of Mother

_____________________________________
Signature of Guardian Over Printed Name

_____________________________________
(Relationship with the Student)

Any mark or alteration of any entry invalidates the document.

_______________________________
Head Teacher-I