REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

JANUARY 12, 2023

Date

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son SAMANTHA JANE A. COMODA in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

RYAN A. COMODA GINA A. COMODA

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

JANUARY 12, 2023

Date

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son ALEXA JADE P. JACULO in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

JASON G. JACULO QUEENIELYN JACULO

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

JANUARY 12, 2023

Date

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son ANGELA J. NAPUD in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

VELY JANE J. NAPUD

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:

JANUARY 12, 2023

 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

Date

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son JL C. MORIN in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

JAN MARX L. MORIN CHARY FE C. MORIN

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:

JANUARY 12, 2023

Date
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son NIEL BOGADOR in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

CHRISTY E. BOGADOR
Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:

JANUARY 12, 2023

Date
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son PRINCE JOHN L. OLISA in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

RICHARD S. OLISA JONALYN L. OLISA

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:

JANUARY 12, 2023

Date
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son DANIELA LORAINE S. DE LA CRUZ in the lower meets up to Palarong
Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

LANIHAN J. DE LA CRUZ MA THERESA S. DE LA CRUZ

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks:

JANUARY 12, 2023

Date
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
VI- WESTERN VISAYAS
(REGION)
SCHOOLS DIVISION OF ILOILO
(DIVISION)
JIBOLO ELEMENTARY SCHOOL
(SCHOOL)
JIBOLO, JANIUAY, ILOILO
(SCHOOL ADDRESS)

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son RHEYNOR JHON P. ALON in the lower meets up to Palarong Pambansa.

I have considered the benefits that my son or 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 and that DepED employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

Signature of Father Signature of Mother

ROLLY B. ALON MERRY P. ALON

Name of Father Name of Mother

Signature of Guardian over Printed

name

(Relationship with the Athlete)

Verified by :

HECTOR M. MANEJERO, JR.

Teacher-Adviser/School Head/Registrar

Remarks: