Annex 1

Learning Camp Registration Template

Republic of the Philippines

Department of Education
MIMAROPA REGION
DIVISION OF PALAWAN

__________________________
(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
MIMAROPA REGION
DIVISION OF PALAWAN
__________________________
(School)

_____________________________
(School Address)

___________________
Date
PARENTAL CONSENT

I hereby willingly and voluntarily give consent to the participation of my/our son/daughter
____________________________ in the National Learning Camp from ________________________
Name of son/daughter (dates of attendance)

I have reviewed 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 held responsible for any untoward incident
that may happen beyond their control.

________________________________ __________________________________
Signature of Father over Signature of Mother over
Printed Name and Date Printed Name and Date

________________________________
Signature of Guardian over
Printed Name and Date

Verified by:

____________________________________ Date: ___________________________

Note: If no parents, submit an Affidavit of Guardianship duly verified by the teacher. If parents are
abroad, a Special Power of Attorney (SPA) is needed.