Republic of the Philippines

Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
GENABLAN ORIENTAL ELEMENTARY SCHOOL
Genablan Oriental Matnog, Sorsogon

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form 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 DepEd employees and personnel may not 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 Athlete)

Verified:

_____________________________

Teacher-Adviser _________________________________

School Head

Any mark or alteration of any entry invalidates the document.

 Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
CORON – CORON ELEMENTARY SCHOOL
Coron - Coron Matnog, Sorsogon

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form 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 DepEd employees and personnel may not 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 Athlete)

Verified:

_____________________________

Teacher-Adviser _________________________________

School Head

Any mark or alteration of any entry invalidates the document.

 Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
SINANG - ATAN ELEMENTARY SCHOOL
Sinang – atan, Matnog, Sorsogon

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form 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 DepEd employees and personnel may not 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 Athlete)

Verified:

_____________________________

Teacher-Adviser _________________________________

School Head

Any mark or alteration of any entry invalidates the document.

 Republic of the Philippines
Department of Education
Region V
Division of Sorsogon
MATNOG II DISTRICT OFFICE
CALPI ELEMENTARY SCHOOL
Calpi, Matnog, Sorsogon

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participant of my/our
son/daughter_________________________________in the lower meets up to Palarong Pambansa.
I have considered the benefits that my son or daughter will derive form 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 DepEd employees and personnel may not 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 Athlete)

Verified:

_____________________________

Teacher-Adviser _________________________________

School Head

Any mark or alteration of any entry invalidates the document.