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PARENTS’ CONSENT FORM

I/We the parent/s of ________________________________________ enrolled at San Rafael


Elementary School in Grade 6 under the advisership of Ms. Mia Faye S. Rañola, hereby consent the presence of
our/my daughter/son to participate in the limited face to face numeracy session at his/her respective schedule for
this quarter.
I/We understand the health risk is involved and should take necessary safety measures. I/We understand
that what consequences may occur before, during and after is not an obligation of the teacher thus I/we consent
our/my child.
I/We appreciate the efforts in imparting learning during this pandemic. I/We wish them all the best.

___________________________________
Name and Signature of the Parent/Guardian

PARENTS’ CONSENT FORM

I/We the parent/s of ________________________________________ enrolled at San Rafael


Elementary School in Grade 6 under the advisership of Ms. Mia Faye S. Rañola, hereby consent the presence of
our/my daughter/son to participate in the limited face to face numeracy session at his/her respective schedule for
this quarter.
I/We understand the health risk is involved and should take necessary safety measures. I/We understand
that what consequences may occur before, during and after is not an obligation of the teacher thus we consent
our/my child.
I/We appreciate the efforts in imparting learning during this pandemic. I/We wish them all the best.

___________________________________
Name and Signature of the Parent/Guardian

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