ANNEX 2

Parent’s Consent Template

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
Calaca City Sub Office
Dacanlao Gregorio Agoncillo National High School
Dacanlao Ciy of Calaca

________________
Date

Parent/Legal Guardian Consent

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _______________________________________________________________ (Name of Learner)
in the learning Camp from ____________________ (dates of attendance).
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 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

________________________
Relationship with the Learner

Verified by:

_________________________________ Date: _____________________

Teacher

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