Republic of the Philippines

Department of Education
REGION IVA-CALABARZON
SCHOOLS DIVISION OF LIPA CITY
LIPA CITY SCIENCE INTEGRATED NATIONAL HIGH SCHOOL
LIPA CITY, BATANGAS

Club Hive Connect Activity

November 17, 2023
3:00 PM – 5:00 PM

PARENTAL CONSENT

I, ___________________________, allow my son / daughter__________________ to

(Name of Parent / Guardian) (Name of Student)

attend the Club Hive Activity to celebrate and conduct activities intended for the

National Student’s Day 2023. I am allowing him/her to fulfill his/ her duties in the

said activity to be involved in all its activities, programs, and projects.

____________________________________________________ _____________
Parent / Guardian’s Signature over printed name Date

LIPA CITY SCIENCE INTEGRATED NATIONAL HIGH SCHOOL

#611, B. Morada St., Brgy. Uno, Lipa City, Batangas 4217
E-Mail Addresslipacityscienceinhs@gmail.com | 301492@deped.gov.ph
Contact Number: (043) 405-3663