Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DI VISION OF OZAMIZ CITY

OZAMIZ CITY NATIONAL HIGH SCHOOL

Bernad st. Lam-an, Ozamiz City

Verified: FEBRUARY 22, 2023

RALPH JOEY P. GACASAN LILIBETH Y. ABAMONGA

Event Coach
PARENTAL CONSENT School Head
I/We hereby
(Signature willingly
Over Printed Name) and voluntarily give consent to the participation of my/our son/daughter _____________________________
(Signature Over Printed Name) in
District Meet Sports Competition.
I/Wehave
I/We hereby willingly and
considered the voluntarily
benefits that my son or daughter will derive from his/her participation in this activity, provided that due care,
give consent
diligence, to the participation
and necessary of will be observed to ensure his/her health and safety.
precautions
Further, my/our son/daughter
I/We authorize the personnel of the Department of Education to collect, process, retain, and dispose of the personal
_____________________________
information of the athlete mentioned above in accordance with the Data Privacy Act of 2012.
in District Meet Sports Competition.
I/We have considered the benefits
that my son or daughter will derive
from his/her participation in this
activity, provided that due care,
diligence, and necessary precautions
will be observed to ensure his/her
health and safety.
Further, I/We authorize the personnel
of the Department of Education to
collect, process, retain, and dispose
of the personal information of the
athlete mentioned above in
accordance with the Data Privacy Act
of 2012.
Signature of Father Over Printed Name

Verified:
Adviser
(Signature Over Printed Name)

Adviser
(Signature Over Printed Name)