Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE
Moncada South District
SAN JULIAN ELEMENTARY SCHOOL
Moncada, Tarlac
106551

APPROVAL OF PARENTS OR GUARDIAN

I hereby approved / allow my child ____________________________________ to attend JOINT BSP &

GSP BACKYARD CAMPING on November 25-27, 2022 at San Julian Moncada Tarlac.

We expressly waive to the claims against the BSP/GSP or the school or its representatives on account of
any accident or damage to personal property that may occur beyond the control of the contingent officials,
provided, adequate safety measures and precautions have been instituted in connection with the participation of
my child in the said occasion.

_________________________ __________________ ________________________

Guardian’s Signature Date Pupil’s Signature

ROMY Q. CALUB MA. TERESA R. CABANSAG VIRGILIO T. SAGUN

BSP School Leader GSP School Leader School Head

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE
Moncada South District
SAN JULIAN ELEMENTARY SCHOOL
Moncada, Tarlac
106551

APPROVAL OF PARENTS OR GUARDIAN

I hereby approved / allow my child ____________________________________ to attend JOINT

BSP & GSP BACKYARD CAMPING on November 25-27, 2022 at San Julian Moncada Tarlac.

We expressly waive to the claims against the BSP/GSP or the school or its representatives on account of
any accident or damage to personal property that may occur beyond the control of the contingent officials,
provided, adequate safety measures and precautions have been instituted in connection with the participation of
my child in the said occasion.

_________________________ __________________ ________________________

Guardian’s Signature Date Pupil’s Signature

ROMY Q. CALUB MA. TERESA R. CABANSAG VIRGILIO T. SAGUN

BSP School Leader GSP School Leader School Head