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Republic of the Philippines

Department of Education
REGION V BICOL
SCHOOLS DIVISION OFFICE OF IRIGA CITY
NIÑO JESUS ELEMENTARY SCHOOL
IRIGA CITY

___________________________
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ___________________________________ in the Learning Camp from July 24 to
August 11, 2023.
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 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

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