Republic of the Philippines

Department of Education
REGION IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
QUEZON DISTRICT
U. CAMACHO ST. BRGY. 4 POBLACION, QUEZON, QUEZON

_____________________
Date

P A R E N TA L C O N S E N T
I, HEREBY willingly and voluntarily give consent on the participation of my son/ daughter,
____________________________________, in the 2024 District Training-Workshop on Campus Journalism for School Paper
Advisers and Campus Journalists at Quezon Elementary School on January 4-5, 2024.
I have considered the benefits that my son/ 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.
________________________________
(Parent’s Signature over printed name)
Student’s CP # ____________________________
Parent’s CP # ____________________________
SPA’s CP # _______________________________

Address: U. Camacho Street Brgy. # 4 Pob. Quezon, Quezon

Trunk line: 09302323133
DepEd Tayo Quezon District-Quezon Province
quezon.district@deped.gov.ph

Republic of the Philippines

Department of Education
REGION IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
QUEZON DISTRICT
U. CAMACHO ST. BRGY. 4 POBLACION, QUEZON, QUEZON

_____________________
Date

P A R E N TA L C O N S E N T
I, HEREBY willingly and voluntarily give consent on the participation of my son/ daughter,
____________________________________, in the 2024 District Training-Workshop on Campus Journalism for School Paper
Advisers and Campus Journalists at Quezon Elementary School on January 4-5, 2024.
I have considered the benefits that my son/ 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.

________________________________
(Parent’s Signature over printed name)
Student’s CP # ____________________________
Parent’s CP # ____________________________
SPA’s CP # _______________________________

Address: U. Camacho Street Brgy. # 4 Pob. Quezon, Quezon

Trunk line: 09302323133
DepEd Tayo Quezon District-Quezon Province
quezon.district@deped.gov.ph