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Republic of the Philippines

Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ROXAS CITY
District II-Cluster IV
TALON ELEMENTARY SCHOOL
Talon, Roxas City

PARENTAL CONSENT

I hereby willingly and voluntarily give consent the participation of my


son/daughter __________________________ to use his/her picture in the School
Improvement Plan (SIP) cover.
I have considered the benefits that my child will obtain from his/her
participation provided that due care and precautions will be observed to ensure
the comfort and safety of my child. Talon Elementary School may not be held
responsible for any untoward incident that may happen beyond their control.

_____________________________________________________
PARENTS’ SIGNATURE OVER PRINTED NAME

Noted:

JOSHUA A. GARINGO, EdD


Head Teacher I

I,

Address: Brgy. Talon, Roxas City


CP#: 09095852614/09190068733
FBPage: DepedTayo-Talon Elementary School
Email: 117674.roxascity@deped.gov.ph
Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ROXAS CITY
District II-Cluster IV
TALON ELEMENTARY SCHOOL
Talon, Roxas City

Address: Brgy. Talon, Roxas City


CP#: 09095852614/09190068733
FBPage: DepedTayo-Talon Elementary School
Email: 117674.roxascity@deped.gov.ph

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