Department of Education

Region V
Division of Albay
Municipality of Albay
Naga National High School
Pioneer of Geothermal Education in the Philippines

PARENTAL CONSENT FORM

Participant’s Name:_____________________________________________________________
Parent/Guardian Name:__________________________________________________________
Home Address:_________________________________________________________________
Phone No:___________________________________Email:_____________________________

I,(Parent/Guardian)______________________________________,grant permission for my child,

(Child’s Name) __________________________________________, to attend the Monthly Meeting at
Naga National High Sxhool, tomorrow Wednesday 10;30 A.M.. This activity will take place under the
guidance of Naga National High School Science teachers and YES-O Adviser.

As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-
named minor participant.

Thus, I confirm and consciously allow my son/daughter to attend the above-stated event on
January 18,2023.

In recognition to my consent, I personally affix my signature this __________ day of January 2023 at
_________________________ Tiwi, Albay.

Signed:

_____________________________________
Signature over printed Name