Enclosure No. 1 to Div. Memo. # 615, 6.

2019

(PARENT’S CONSENT)

Sir/ Madam;

We, (Mr. & Mrs.) _______________________________________, parent/ guardian

of________________________________, gave him/her consent/ permission to participate in the
Division Schools Press Conference (DSPC) which will be held on October 28-31, 2019 in the Municipality
of Dulag, Leyte.

We truly understand that we don’t hold the school responsible for any untoward
incident that may happen, provided that the school gave its best precautionary measures and safety of
our child before, during and after activity.

Very truly yours,

_______________________________
Parents’ Signature above Printed Name

Enclosure No. 1 to Div. Memo. # 615, 6. 2019

2019 DIVISION SCHOOLS PRESS CONFERENCE

Pre- Registration Form

Level: _______________________________ Date: _______________ , 2019

School: ______________________________ District: _________________
Area: _________
Name of School Publication: ____________________
Name of School Head: ________________________
Contact Number: ________________________

Pupil/ Student Contestant School Publication

Adviser (s)/ Coaches (s)
Name Contest to be Medium Name No. of Years Cell No. & email
Participated (English/Filipino) as Adviser address

Total No. of Participants: _______________ Official Receipt No. _____________ Date : _____________
Amount Paid : ___________________

Prepared and submitted by: Noted by:

__________________________________ ________________________
(School Paper Adviser) (School Head)
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