Republic of the Philippines

Department of Education
Girl Scout of the Philippines
IX – Zamboanga Peninsula
Pagadian City Division
North District
Kalasan Elementary School

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our daughter
__________________________________to attend the SIMULTANEOUS SCHOOL BASED CAMPORETTE at Kalasan
Elementary School on August 2, 3 and 4, 2018

I have considered the benefits that my daughter will derive from his participation in this activity provided that
due care and precaution will be observed to ensure the comfort and safety of my daughter and that DepEd employees and
personnel may not be held responsible for any untoward incident that may happen beyond their control.

Signature of Father Signature of Mother

Name of Father Name of Mother

__________________________________________________________________________________________

Republic of the Philippines

Department of Education
Girl Scout of the Philippines
IX – Zamboanga Peninsula
Pagadian City Division
North District
Kalasan Elementary School

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent the participation of my/our daughter
__________________________________to attend the SIMULTANEOUS SCHOOL BASED CAMPORETTE at Kalasan
Elementary School on August 2, 3 and 4, 2018

I have considered the benefits that my daughter will derive from his participation in this activity provided that
due care and precaution will be observed to ensure the comfort and safety of my daughter and that DepEd employees and
personnel may not be held responsible for any untoward incident that may happen beyond their control.

Signature of Father Signature of Mother

Name of Father Name of Mother