Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Canlaon City

PARENTS’ CONSENT

January 16, 2023

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

my/our son/daughter ______________________________________________
in the School training for (event)______________________, starting
_______________________ in preparation for the upcoming Cluster Meet.

I/We have 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/our son/daughter and that
the management may not be held responsible for any untoward incident that
may happen beyond their control.

________________________________ ________________________________
Name and Signature of the Father Name and Signature of the Mother

______________________________ ____________________
Name and Signature of the Guardian Relationship

Verified by:
_____________________________________
Signature over Printed Name of
Coach/Teacher Adviser

Noted by:

LORETO C. ARBUIS
TIC/TIII