Annex 1

Learning Camp Registration Template

Republic of the Philippines

DEPARTMENT OF EDUCATION
_______________________
(Region)
_______________________
(Division)
_______________________
(School)
_______________________
(School Address)

Learning Camp Registration Template

Camp Group: ___________________________________

Name: ___________________________________
Grade Level: ___________________________________
If in Senior High School, specify the strand: ________________________________
Age: ___________________________________
Address: ____________________________________________________________
Parent/Legal Guardian: ______________________________________________________
Contact Number: ___________________________________
Final Grade in English: ____________________________
Math: ____________________________
Science: ____________________________
Annex 2
Parent’s Consent Template

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 ___________________________ in the Learning Camp from
_________________.

I have considered the benefits that my son/daughter will get 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. DepEd employees and
personnel may not be help responsible for any untoward incident that may happen
beyond their control.

______________________ ______________________
Signature of Father over Signature of Father over
Printed Name and Date Printed Name and Date

__________________________
Signature of Guardian over
Printed Name and Date

___________________________________
Relationship with the Learner

Verified By:

______________________________________ Date: _________________

Teacher

Note: If no Parent/s, submit Affidavit of Guardianship duly certified by the teacher. If

parent are abroad a Special Power of Attorney (SPA) is needed.