SOUTH PHILIPPINE ADVENTIST

COLLEGE
Camanchiles, Matanao, Davao del Sur 8003
A.Y. 2022-2023

INFORMED PARENTAL CONSENT

Participant/Student Information:
Full Name of Student (First/Middle/Last):
Gender: Age: Course/Program: Year:
Home Address:

Living & Accommodation Arrangement:

College Dormitory ( ) Faculty Villager ( ) Off-Campus Villager ( ) Commuter ( )
College Address (for off-campus villagers):

Parent/Guardian
Name of Person giving Consent
I hereby certify that I am the Student’s ( ) Parent ( ) Guardian ( ) Person in loco Parentis (attach
parents’/guardians’ instruction letter) and that I am at least years of age.
Address of Parent/Guardian
Contact phone number Email

I, the undersigned, authorize my child/student under my care to participate in the ADVENTIST WORLD
RADIO: EARTH’S FINAL COUNTDOWN @ DAVAO DEL SUR COLISEUM ON MARCH 25, 2023

I consent to my child/ward traveling by any form of public transport or motor vehicle to any event/activity I allow.

I also am aware that my child/student needs to have a uniform for the said event
D’voices, the official singing group of the junior high school academy will have their official uniform for 2022-2023. This
uniform will be used by the official members for all the events inside and outside the school.
Below are the total price of their uniform,

GENTLEMEN: BARONG: 759.00

SHIPPING FEE: 20.00
TOTAL PRICE: 779.00/MEMBER

LADIES: DRESS: 549.00

BELT: 62.00
SHIPPING FEE: 25.00
TOTAL PRICE: 636.00/MEMBER

Parent/Guardian Name (Print):

Signature: Date:

Please attach a photocopy of any ID that contains your signature to this Consent Form and medical certificate if the
student will engage in physical sports.