_______________________

Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
________________________________________ in the school for the activity of Fundamentals of
Markmanship as their practicum in the course BSC2218 – Fundamentals of Markmanship

I have considered the benefits that my son or daughter will derive from his/her participation in this
activity provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter and that Perpetual Help College of Pangasinan employees and personnel may not be held
responsible for any untoward incident that may happen beyond their control.

________________________________
________________________________
Signature of Father Signature of Mother

________________________________ ________________________________
Name of Father Name of Mother

______________________________________
Signature of Guardian over Printed Name

______________________________________
Relationship with the Student

Verified by:

____________________________________
Teacher/Practicum Adviser

____________________________________
Dean/Department Head

SUBSCRIBED AND SWORN to before me this _______ day of ____________________, ____________ at

_________________________________ affiant exhibited to me his/her community tax certificate no.
___________________ issued on _______________ at ___________________________________.