PARENTS’ CONSENT

___________________

DATE

TO WHOM IT MAY CONCERN:

This is to certify that we, the undersigned parents/guardians do hereby give full
consent and permit to our son/daughter ________________________________ who is presently
enrolled in the Bachelor of Science in Nursing Program (BSN) at Eastern Samar State University –
Main Campus to join the Limited Face to Face Classes / Related Learning Experience Sessions.

Signed this ________ day of ______________, 2022 here in ____________________________

______________________________
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Name/ Signature of Parent/ Guardian