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Republic of the Philippines

Department of Education
Region I
Schools Division of Ilocos Sur
Bantay District
TAY-AC ELEMENTARY SCHOOL

To whom It May Concern,


I hereby willingly give consent to the participation of my child in the F2F /
Modular Scheme (Moring Session for face to face and Afternoon Session for Modular)
starting May 15 until the weather condition improves.
This is in response to the adverse effect caused by the extreme heat being
experienced.
I have considered the benefits that my child will derive from the said scheme.

Name of child Parent’s signature

Prepared by:
NORMAN C. LOPEZ
Grade IV-Einstein Adviser
Noted:

ROSALINDA P. LAURENTE
School Principal

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