PARENTAL CONSENT

TO WHOM IT MAY CONCERN:

This is to certify that I,____________________________________________, parent of

__________________________________ , a player/representative of TPSA, hereby willingly and

voluntarily give consent for him/her to attend and to participate in the Palarong Pambayan.

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

___________________________________

Parent
Signature over printed name

Verified by:

EMMANUEL I. CUSTODIO
Signature over printed name
TPSA PRESIDENT