Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF CABANATUAN CITY
HONORATO C. PEREZ, SR. MEMORIAL SCIENCE HIGH SCHOOL
MABINI EXTENSION, CABANATUAN CITY

PARENT’S PERMIT

I hereby willingly and voluntarily give consent for the participation of

my son/daughter of
(Name of Student) (Grade and Section)
in the Symposium on Youth-Friendly Reproductive Health Services
on March 21, 2023 from 10:00 AM to 12 :00 PM that will be
conducted in the HCPSM Science High School gymnasium.

Parent’s Signature over printed name