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  • Waiver NLC

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    Orland Asuncion Bersola
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    This parental consent form allows a student named __________________ to participate in a Learning Camp from certain dates. The parents and guardian sign to give their consent and acknowledge that the school cannot be held responsible for any incidents beyond their control. It provides contact information for Bulala-Fugu Elementary School in Camalaniugan, Cagayan, Philippines.

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    WAIVER NLC

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    This parental consent form allows a student named __________________ to participate in a Learning Camp from certain dates. The parents and guardian sign to give their consent and acknowledge that the school cannot be held responsible for any incidents beyond their control. It provides contact information for Bulala-Fugu Elementary School in Camalaniugan, Cagayan, Philippines.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    34 views1 page

    Waiver NLC

    Uploaded by

    Orland Asuncion Bersola
    This parental consent form allows a student named __________________ to participate in a Learning Camp from certain dates. The parents and guardian sign to give their consent and acknowledge that the school cannot be held responsible for any incidents beyond their control. It provides contact information for Bulala-Fugu Elementary School in Camalaniugan, Cagayan, Philippines.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Republic of the Philippines

    Department of Education
    Region II – Cagayan Valley
    Schools Division of Cagayan
    CAMALANIUGAN, DISTRICT
    BULALA-FUGU ELEMENTARY SCHOOL (102596)

    Date: _________________________

    PARENTAL CONSENT

    I/We hereby willingly and voluntarily give consent to the participation of my/ our son/
    daughter _____________________________________________ (name of learner) in the Learning Camp
    from ________________________ (dates of attendance).

    I have considered the benefits that my son/ daughter will get 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. DepEd employees and personnel may not be held responsible for any untoward incident that
    may happen beyond their control.

    _____________________________ _____________________________
    Signature of Father over Signature of Mother over
    Printed Name and Date Printed Name and Date

    ______________________________
    Signature of Guardian over
    Printed Name and Date

    ________________________________
    Relationship with the Learner

    ______________________________________________________________________________
    Address: Dacal-la Fugu, Camalaniugan, Cagayan 3510
    Telephone Nos.: 0926 - 170 - 4985
    Email Address: 102596@deped.gov.ph
    Website: sites.google.com/deped.gov.ph/102596

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