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Schools Division of Iloilo City

District V
Cubay Elementary School
Brgy. Cubay, Jaro, Iloilo City

PARENTAL CONSENT

I, _________________________________ hereby give my consent the participation of my child


Name of Parent
_________________________________ of ____________________ for the practice of Football on
Name of the Child Grade and Section

February 1 and 3, 2023, at 3:30 pm and February 2, 2023 at 3:00 pm at St. Joseph Village Oval.

I understand and agree that the school personnel accompanying my child in the activity will do their
best to ensure his/her comfort and safety and that they will not be held liable for any untoward incident that
may happen beyond their control.

____________________________________
Parent’s Signature over Printed Name

Schools Division of Iloilo City


District V
Cubay Elementary School
Brgy. Cubay, Jaro, Iloilo City

PARENTAL CONSENT

I, _________________________________ hereby give my consent the participation of my child


Name of Parent
_________________________________ of ____________________ for the practice of Football on
Name of the Child Grade and Section

February 1 and 3, 2023, at 3:30 pm and February 2, 2023 at 3:00 pm at St. Joseph Village Oval.

I understand and agree that the school personnel accompanying my child in the activity will do their
best to ensure his/her comfort and safety and that they will not be held liable for any untoward incident that
may happen beyond their control.

____________________________________
Parent’s Signature over Printed Name

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