Wilfredo S.

Mosong
Principal 1
Liloan National Technical – Vocational High School
Poblacion, Liloan, Sothern Leyte
November 07, 2022

Dear Sir,

I am writing this letter to ask for permission to conduct one of the activities of the School
BKD Federation, which is the School Campus Clean Up. This activity will promote one of
our objectives, which is to make a diversionary activity for students so they don’t think about
taking drugs or smoking cigarettes or vaping. The students who will be involved in this
activity will be those who can secure parental consent through signed consent letters from
their parents. Rest assured that in this activity, our BKD teacher-adviser will accompany us in
this endeavor.

If given permission from your office, we will hold this activity on November 12, 2022,
Saturday, here on our school campus. This will also help our school be ready for our coming
intramurals and founding anniversary, as we could make our school clean and green.

I am hoping for a positive response.

Sincerely Yours,

ARGYLL T. GALANO Noted By:

BKD President

MARCELO M. PADILLO
BKD Teacher – Adviser

Approved By:

WILFREDO S. MOSONG
School Head
 PARENTAL WAIVER AND CONSENT FORM

I, the undersigned, as the parent of ________________________________________, a

learner of the ____________________________________________(school) do hereby give
my full consent and approval for my child to participate in:

Title of Activity: SCHOOL CAMPUS CLEAN UP

Date of Activity: November 12, 2022, Saturday
Venue/Address of Activity: Liloan National Technical – Vocational High School Campus

In consideration of the consent given for the participation in the above-mentioned activity, I,
or my child’s authorized guardian, together with my child, do hereby release and waive
DepEd Southern Leyte, Liloan NTVHS School Head, BKD Teacher-Adviser, and all faculty
and staff of Liloan NTVHS, from any and all claims should any damage be caused or liability
be incurred to property or person arising from, but not limited to, participation in the said
activity. I expect and know that the school will exercise the diligence required for the safety
and well being of my child and that his/her participation in the activity will be beneficial to
him/her. However, participation in the activity carries with it certain risks that cannot be
eliminated regardless of the care taken to avoid injuries. I know and understand these and
other risks that are inherent to the stated activity and I hereby assert that my child’s
participation, as well as my consent to it, is voluntary and that I knowingly assume all such
risks. However, should anything happen that harms my child, I expect to be notified
immediately through my contact number____________________________.

I acknowledge that I am signing this freely and voluntarily, and intend this by my signature to
be a complete and unconditional release of all liability to the greatest extent allowed by law.

______________________________ _______________________________
Signature Above Printed Name Signature Above Printed Name
of Parent of Student

Date:________________________ Date:____________________________