PARENT’S/GUARDIAN’S CONSENT  Things to bring:

TO A VOLUNTARY
ACTIVITY PARTICIPATION  Parent’s consent
 Beddings
TO WHOM IT MAY CONCERN:
(blanket/sleeping
mat/ tulugan)
 Personal Hygiene Kit
I,__________________________________________________ (parent/guardian) of
 Medicines
_________________________________________ is allowing my SON / DAUGHTER to
 Face Mask
join the 1st Provincial Indigenous Peoples Youth Empowerment Summit 2022 on
 Alcohol
December 2 - 5, 2022 at Salcedo Covered Court, Brgy. Poblacion Norte, Salcedo, Ilocos
 Clothes good for 4
Sur.
days
 Shoes, Slippers
I understand and agree further that all necessary precaution will be taken by the
 Off Lotion
organizers in charge of the activity to ensure the safety of my son / daughter. During
 Handkerchief
the duration of the activity, however, the organizer is not liable for any untoward
 Cultural Attire for IP
incident that might happen beyond its human control.
 Casual Attire for Non-
IP

_____________________________________
Name and Signature of Parent or Guardian
Date: ______________

___________________________________
Participant’s Name and Signature
Date: ______________

==================================================================================================

PARENT’S/GUARDIAN’S CONSENT  Things to bring:

TO A VOLUNTARY
ACTIVITY PARTICIPATION  Parent’s consent
 Beddings
TO WHOM IT MAY CONCERN:
(blanket/sleeping
mat/ tulugan)
 Personal Hygiene Kit
I,__________________________________________________ (parent/guardian) of
 Medicines
_________________________________________ is allowing my SON / DAUGHTER to
 Face Mask
join the 1st Provincial Indigenous Peoples Youth Empowerment Summit 2022 on
 Alcohol
December 2 - 5, 2022 at Salcedo Covered Court, Brgy. Poblacion Norte, Salcedo, Ilocos
 Clothes good for 4
Sur.
days
 Shoes, Slippers
I understand and agree further that all necessary precaution will be taken by the
 Off Lotion
organizers in charge of the activity to ensure the safety of my son / daughter. During
 Handkerchief
the duration of the activity, however, the organizer is not liable for any untoward
 Cultural Attire for IP
incident that might happen beyond its human control.
 Casual Attire for Non-
IP

_____________________________________
Name and Signature of Parent or Guardian
Date: ______________

___________________________________
Participant’s Name and Signature
Date: ______________