CITY GOVERNMENT OF SAN PABLO

PAMANTASAN NG LUNGSOD NG SAN PABLO

Patriotism • Leadership • Service • Professionalism
CHED Recognized Local College
TESDA Recognized Programs
ALCU Commission on Accreditation – Level 1 Re-Accredited
Member, Association of Local Colleges and Universities
Member, Local Colleges and Universities Athletic Association, Inc.

PARENT’S CONCERN FORM

Sir/Madam:

Your permission is requested for yourson/daughter,

to participate in a film-making activity on April 28–29, 2023, to be held at Brgy. Banago, Nagcarlan,

Laguna. This activity is in compliance with the course requirement in SineSosyedad, where students

will be creating their own respective films along with their classmates.

By signing this form, I give my informed consent for my son/daughter to participate in the said activity. I

understand that school staffs are not responsible in any untoward accident that may happen during that

time.

Parent’s Signature Over Printed Name

Address: Brgy. San Jose, City of San Pablo, Laguna Cel. no. (0929) 356 7646 E – mail (Administrative Office), dlspofficial97@gmail.com