Republic of the Philippines

DEPARTMENT OF EDUCATION
_Region III – Central Luzon_
(Region)
___Division of BULACAN__
(Division)
San Jose Elementary School
(School)
San Jose Calumpit Bulacan
(School Address)

April 12, 2023

PARENTAL CONSENT

I/We hereby willingly give consent the participation of my son

_______________________________________________________ in the 21st BULACAN
COUNCIL SCOUT JAMBOREE TRAINING ON April 17, 2023 to April 28, 2023 to be
held at F. Mendoza Memorial Elementary School. From 8:00 am to 3:00 pm.
I/We have considered the benefits that my son will gain from participating in this
activity provided that due care and precaution will be observed to ensure the comfort and
safety of my son and that DepED employees and personnel’s may not be held liable for any
untoward incident that may happen beyond their control.

_____________________________ _______________________________
Signature of Father Signature of Mother

_____________________________ _______________________________
Name of Father Name of Mother

__________________________________
Signature of Guardian over Printed Name

__________________________________
(Relationship with the Scout)

Verified by:

__________________________________
Teacher-Adviser/School Head/ Registrar

Republic of the Philippines

DEPARTMENT OF EDUCATION
 _Region III – Central Luzon_
(Region)
___Division of BULACAN__
(Division)
San Jose Elementary School
(School)
San Jose Calumpit Bulacan
(School Address)

April 12, 2023

PARENTAL CONSENT

I/We hereby willingly give consent the participation of my son

_______________________________________________________ in the 21st BULACAN
COUNCIL SCOUT JAMBOREE on May 2, 2023 to May 7, 2023 to be held at Farm ni
Baste, Norzagaray, Bulacan.
I/We have considered the benefits that my son will gain from participating in this
activity provided that due care and precaution will be observed to ensure the comfort and
safety of my son and that DepED employees and personnel’s may not be held liable for any
untoward incident that may happen beyond their control.

_____________________________ _______________________________
Signature of Father Signature of Mother

_____________________________ _______________________________
Name of Father Name of Mother

__________________________________
Signature of Guardian over Printed Name

__________________________________
(Relationship with the Scout)

Verified by:

__________________________________
Teacher-Adviser/School Head/ Registrar