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Republic of the Philippines

Department of Education
Region X – Northern Mindanao
Division of Misamis Oriental
District _________________
School _____________________________

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my


son/daughter ______________________________________ in the Inter-school Christmas
League 2022 of the municipality of Talisayan throughout the month of December 2022 for the
event___________________________.

I/We considered the benefits that my son/daughter will derive from his/her participation
in this activity provided that due care and precaution will be observed to ensure the comfort and
safety of my son/daughter. I/we also acknowledge that the DepEd personnel may not be held
responsible for any untoward incident that may happen beyond their control.

__________________________ ________________________
Signature over Printed Name of Father Signature over Printed name of mother
Date: ________________ Date: ___________________

________________________________
Signature over printed name of Guardian
Date: _____________

________________________________
Relationship with the athlete

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