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Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Bohol
District of Loboc
LOBOC NATIONAL HIGH SCHOOL
Bahian, Loboc, Bohol

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
son/daughter _____________________________________ in the SCHOOL INTRAMURAL
MEET 2023 on September 30, 2023.
I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to ensure the
comfort and safety of my son/daughter and that DepED employees and personnel may not be
held responsible for any untoward incident that may happen beyond their control.

Name and Signature of Parent Name and Signature of Guardian


Verified by:

Name and Signature of Adviser Relationship with the Learner

If athlete please indicate: BP _______(mmHg); Pulse Rate ________(bpm) Taken by: _______________________
Name and Signature

Republic of the Philippines


Department of Education
Region VII, Central Visayas
Division of Bohol
District of Loboc
LOBOC NATIONAL HIGH SCHOOL
Bahian, Loboc, Bohol

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
son/daughter _____________________________________ in the SCHOOL INTRAMURAL
MEET 2023 on September 30, 2023.
I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to ensure the
comfort and safety of my son/daughter and that DepED employees and personnel may not be
held responsible for any untoward incident that may happen beyond their control.

Name and Signature of Parent Name and Signature of Guardian


Verified by:

Name and Signature of Adviser Relationship with the Learner

If athlete please indicate: BP _______(mmHg); Pulse Rate ________(bpm) Taken by: _______________________
Health history:__________________________________ Name and Signature

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