___________________________

Date
PARENTAL CONSENT
Dear Parent/Guardian:

_______________________________________________________ of St. John Paul II College of Davao

(class/section/club/organization)
will hold/participate/attend_________________________________________________ in connection
(event/activity)
with their efforts to grow in unity of spirit, to relate outside activities with their subjects/course, and to
deepen their awareness of the needs of community.

May we request that you allow ______________________________________________________ to be

(full name of student)
with the group at _______________________________________________ on ____________________.
(place) (date)
We assure you that the group will be accompanied and supervised by the instructor/moderator. Since

the group will be staying from ______________________________ to ___________________________

(time-start) (time-end)
the school will not be responsible if your son/daughter decides to leave ahead of time.

If you will not allow your son/daughter to join the activity, the alternative work ____________________
will be required.

Thank you for your cooperation. Please return this form to the instructor/moderator after signing.

Noted by:

_______________________________________
Instructor/Moderator
Contact Number: ________________________
Approved by:

__________________________________ MS. JOCELYN P. RODRIGUEZ, MAEd

Dean/Program Head Office of Student Affairs Coordinator
_____________________________________________________________________________________

PARENT’S CONSENT

Name of Student: ______________________________________________

Year & Course: ________________________________________________
_______ I allow my son/daughter to join the activity.
_______ I’m sorry, I will not allow my son/daughter to join the activity.

Reason: _________________________________________________. However, I agree to allow my

son/daughter to undergo the alternative work __________________________________________.

_________________________________________
Signature over Printed Name of Parent/Guardian
Contact Number: _________________________