Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF GENERAL TRIAS CITY
LUIS Y. FERRER JR. SENIOR HIGH SCHOOL
SOUTH SQUARE VILLAGE, PASONG KAWAYAN II,
GEN. TRIAS CITY, CAVITE

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to allow my son/daughter

________________________________________ from ____________________ to stay after
class hours to participate as participants in a survey conducted for a research study entitled
“Health Literacy: First Aid Awareness of Grade 11 STEM Students” held on May 15 to May 17,
2023, at Luis Y Ferrer Jr., Senior High School, South Square Subdivision Pasong Kawayan II,
Gen. Trias, City, Cavite. I have considered the benefits that my son/daughter will derive from
his/her participation in these activities provided that due care and precaution will be
observed to ensure the comfort and safety of my son/daughter and that the school
employees and personnel may not be held responsible for any untoward incident that may
happen beyond their control.

The date and estimated time per section is as follows:

STEM - 11 Sections Class Adviser Date Time

Almaciga Ms. Vilma A. Caranguian May 15, 2023 10:20 am - 10:45 am

Anahaw Ms. Aileen Rose S. Bernardo May 15, 2023 10:20 am - 10:45 am

Tuai Ms. Meriza S. Bauyon May 16, 2023 10:00 am - 10:25 am

Tibig Ms. Jacqueline L. Cabutotan May 16, 2023 10:00 am - 10:25 am

Yakal Ms. Florida A. Mangui May 17, 2023 10:20 am - 10:45 am

__________________________________________
Signature of Parent/Guardian over printed name

LUIS Y. FERRER JR. SENIOR HIGH SCHOOL

SOUTH SQUARE VILLAGE, PASONG KAWAYAN II,
CITY OF GEN. TRIAS, CAVITE
depedgentri.lyfjshs2016@gmail.com