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Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY I
PARAYAO NATIONAL HIGH SCHOOL
PAPAGUEYAN, BINMALEY, PANGASINAN
SY 2022-2023

PARENTAL CONSENT

As the parent or legal guardian of _____________________________________, I/we hereby give my /


Our full consent and approval to his / her participation in
_____________________________________________.
I/we have considered the benefits that my / our 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 / our
son/daughter.
Furthermore, I/we understand that there are certain risks in traveling and other related activities incidental
to my child’s participation, and I am willing to assume these risks on behalf of my child. I also hereby certify that
my child is fully capable of participating in the said activity and that my child is healthy and has no physical or
mental disabilities or infirmities that would restrict his/her full participation.

.
_______________________________________
Signature of Parent / Guardian over Printed Name

Republic of the Philippines


Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY I
PARAYAO NATIONAL HIGH SCHOOL
PAPAGUEYAN, BINMALEY, PANGASINAN
SY 2022-2023

PARENTAL CONSENT

As the parent or legal guardian of _____________________________________, I/we hereby give my /


Our full consent and approval to his / her participation in
_____________________________________________.
I/we have considered the benefits that my / our 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 / our
son/daughter.
Furthermore, I/we understand that there are certain risks in traveling and other related activities incidental
to my child’s participation, and I am willing to assume these risks on behalf of my child. I also hereby certify that
my child is fully capable of participating in the said activity and that my child is healthy and has no physical or
mental disabilities or infirmities that would restrict his/her full participation.

.
_______________________________________
Signature of Parent / Guardian over Printed Name

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