I hereby willingly and voluntarily grant consent to the participation of my son/

daughter_______________________________________________ in “Beat the Bisyo Race” to be held

at Bayawan City Plaza, on November 17, 2023 at 3 o’ clock in the afternoon.

The said activity is the City Health Office Program which will highlight the importance of safeguarding the
youth against unhealthy and life-wrecking habits such as smoking, binge drinking, drug addictions, and
unhealthy eating.
I have considered the benefits that my son/daughter will derive from his/her participation
in this activity and I waive any claim against the DepED for any and all cases which may arise in this
connection with the understanding that due care and promise will be observed to ensure the comfort
and safety of the participation to this activity.

___________________________________
Signature of Parents over Printed Name

Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS SCHOOLS
DIVISION OF SAGAY CITY

SAGAY NATIONAL HIGH SCHOOL – SENIOR HIGH NATIONAL

HIGHWAY, BRGY. POB. II, SAGAY CITY
 APPROVAL OF PARENTS/GUARDIAN

I hereby willingly and voluntarily grant consent to the participation of my

son/daughter in
on .

I have considered the benefits that my son/daughter will derive from his/her participation in
this activity and I waive any claim against the DepED for any and all cases which may arise in this
connection with the understanding that due care and promise will be observed to ensure the comfort
and safety of the participation to this activity.

Signature of Parents over Printed Name

Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS SCHOOLS
DIVISION OF SAGAY CITY

SAGAY NATIONAL HIGH SCHOOL – SENIOR HIGH NATIONAL

HIGHWAY, BRGY. POB. II, SAGAY CITY

I hereby willingly and voluntarily grant consent to the participation of my son/

daughter_______________________________________________ in “Beat the Bisyo Race” to be held
at Bayawan City Plaza, on November 17, 2023 at 3 o’ clock in the afternoon.

The said activity is the City Health Office Program which will highlight the importance of safeguarding the
youth against unhealthy and life-wrecking habits such as smoking, binge drinking, drug addictions, and
unhealthy eating.
I have considered the benefits that my son/daughter will derive from his/her participation
in this activity and I waive any claim against the DepED for any and all cases which may arise in this
connection with the understanding that due care and promise will be observed to ensure the comfort
and safety of the participation to this activity.

___________________________________
Signature of Parents over Printed Name

APPROVAL OF PARENTS/GUARDIAN

I hereby willingly and voluntarily grant consent to the participation of my son/

daughter_______________________________________________ in “Beat the Bisyo Race” to be held
at Bayawan City Plaza, on November 17, 2023 at 3 o’ clock in the afternoon.

The said activity is the City Health Office Program which will highlight the importance of safeguarding the
youth against unhealthy and life-wrecking habits such as smoking, binge drinking, drug addictions, and
unhealthy eating.
I have considered the benefits that my son/daughter will derive from his/her participation
in this activity and I waive any claim against the DepED for any and all cases which may arise in this
connection with the understanding that due care and promise will be observed to ensure the comfort
and safety of the participation to this activity.

___________________________________
Signature of Parents over Printed Name
 Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS SCHOOLS
DIVISION OF SAGAY CITY

SAGAY NATIONAL HIGH SCHOOL – SENIOR HIGH NATIONAL

HIGHWAY, BRGY. POB. II, SAGAY CITY

I hereby willingly and voluntarily grant consent to the participation of my son/

daughter_______________________________________________ in “Beat the Bisyo Race” to be held
at Bayawan City Plaza, on November 17, 2023 at 3 o’ clock in the afternoon.

The said activity is the City Health Office Program which will highlight the importance of safeguarding the
youth against unhealthy and life-wrecking habits such as smoking, binge drinking, drug addictions, and
unhealthy eating.
I have considered the benefits that my son/daughter will derive from his/her participation
in this activity and I waive any claim against the DepED for any and all cases which may arise in this
connection with the understanding that due care and promise will be observed to ensure the comfort
and safety of the participation to this activity.

___________________________________
Signature of Parents over Printed Name

List of Student Participants for the BEAT THE BISYO RACE

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.