Office of Student Services

(02) 779-5180 (046) 481-1900 local 3018

Email: officeofstudentservices@dlsud.edu.ph
www.dlsud.edu.ph

CONTROL NO.: CBAA ________

February 23, 2023

PARENTAL CONSENT FORM FOR CONCERT

Dear Mr. Reblora:

This is to inform you that I have given my son/daughter __________________________________________, ____________

NAME OF STUDENT Course & Section

permission to participate in the concert titled "FLAIR 2023: One Melody for the Lasallian Community"

which will be held at the DLSU-D Grandstand, De La Salle University-Dasmariñas on March 17, 2023

(4:00pm-9:00pm), subject to all the requirements of all the schools for F2F participation.

I am aware that there is/are faculty member/s who will accompany the students and who will take all the

necessary precautions to keep them safe. Nonetheless, given all efforts, reminders and warnings by teachers and

school authorities, I know that fortuitous or unexpected incident(s) beyond control of the teachers and school

authorities may still occur.

Attached is a photocopy of my ID with signature for your reference.

________________________________________________ ________________________________________________
Parent/Guardian’s Name/Signature Contact No.

Please paste the photocopy of parent/guardians’ ID below:

FRONT BACK

IMPORTANT NOTE: This PCF is only intended for the student whose name appeared above. The draft must not be
abstracted or reproduce in any form or by any means outside the intended student. Furthermore, the draft should not be
displayed on any website. Any violation thereof shall be dealt with accordingly.