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Department of Education

Negros Island Region


Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL
Bacolod City
Tel. No.(034) 433-9377; Fax No. (034) 433-6640

PARENTS CONSENT

I,_________________________________ hereby willingly and voluntarily grant


(Name of Parent/Guardian)
consent to the participation of my son/daughter_____________________________
(Name of Son/Daughter)
in the Amity Saturday Formation on September 23, 2017. The said activity will
start at 0730 hours and will end at 1200 hours at the Negros Occidental High
School Campus.

I have considered the benefit that my son/daughter will get from his/her
participation in this activity with understanding that due care will be observed
to ensure safety and protection of the participants while attending in it.

_____________________________
Signature of Parent/Guardian
Department of Education
Negros Island Region
Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL
Bacolod City
Tel. No. 034 433-9377; Fax No. (034) 433-6640

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