Republic of the Philippines

DEPARTMENT OF EDUCATION
________________________
(Region)
______________________________
(Division)
______________________________
(School)
______________________________
(School Address)

_____________________
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the

participation of my/our son/daughter _____________________________ of
Grade ________ in his/her scheduled practices in preparation for the
simultaneous Field Demonstration.

I/We have considered the benefits that my child will derive from
his/her participation in this activity provided that due care, diligence,
and necessary precautions will be observed to ensure his/her health and
safety.

____________________ ____________________
Signature of Father Signature of Mother

____________________ ____________________
Name of Father Name of Mother

Verified by:

_____________________________________
Signature of Adviser over Printed name