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Parental Consent Form for Remedial Class

Date: November 6, 2023

I, ______________________________________ hereby state that I am the __________________


(Name of Parent/Guardian) (Relationship to the learner)
of _______________________with LRN # _______________who is presently in Grade Three
(Name of Learner) (Grade Level)
do hereby signify my consent for my child to be in school for remedial class for School Year 2023-
2024 at SAN LORENZO ELEMENTARY SCHOOL

________________________________
(Name and Signature of Parent/Guardian)

Parental Consent Form for Remedial Class

Date: November 6, 2023

I, ______________________________________ hereby state that I am the __________________


(Name of Parent/Guardian) (Relationship to the learner)
of _______________________with LRN # _______________who is presently in Grade Three
(Name of Learner) (Grade Level)
do hereby signify my consent for my child to be in school for remedial class for School Year 2023-
2024 at SAN LORENZO ELEMENTARY SCHOOL

________________________________
(Name and Signature of Parent/Guardian)

Parental Consent Form for Remedial Class

Date: November 6, 2023

I, ______________________________________ hereby state that I am the __________________


(Name of Parent/Guardian) (Relationship to the learner)
of _______________________with LRN # _______________who is presently in Grade Three
(Name of Learner) (Grade Level)
do hereby signify my consent for my child to be in school for remedial class for School Year 2023-
2024 at SAN LORENZO ELEMENTARY SCHOOL

________________________________
(Name and Signature of Parent/Guardian)

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