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Republic of the Philippines

Department of Education
Schools Division of Canlaon City
BUDLASAN NATIONAL HIGH SCHOOL
(Name of School)
CLUSTER 4

PARENT’S CONSENT

January 16, 2023

I/We hereby willingly and voluntarily give consent to the participation of my/our son/ daughter
____________________________________ in the School training and Cluster Selection meet for the
(event) _____________________________________ starting January 18-21, 2023 in preparation for the
upcoming Canlaon City Athletic Meet.

I/We have considered the benefits that my son/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/our son/
daughter and that the management may not be held responsible for any untoward incident that my happen
beyond their control.

_____________________________ ____________________________
Name and Signature of the Father Name and Signature of the Mother

______________________________ ____________________________
Name and Signature of the Guardian Relationship

Verified by:

__________________________________________________
Signature over Printed Name of
Coach/ Teacher Adviser

Noted by:

GWENDOLYN L. ANGANA
SCHOOL HEAD

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