Republic of the Philippines

Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF OLONGAPO CITY
REGIONAL SCIENCE HIGH SCHOOL
EAST KALAYAAN, SUBIC BAY FREEPORT ZONE, OLONGAPO CITY, ZAMBALES

PARENT’S CONSENT FORM

Date: ______________

Dear Ma’am/Sir,

I confirm that I, _____________________________________, a parent/legal guardian of

______________________________, hereby consent to the above child participating in the study

with the title “An Assessment on First-Aid Awareness and Skills Among RSHS III Students.”

I understand that my child’s participation in this study is entirely voluntary, and I am

aware that they may withdraw from the study at any time without penalty or loss of

benefits. I acknowledge that I may contact the leader of the group, Chelzy Krishna Esquillo,

using her Facebook account or email address which is chelskrishna@gmail.com, if I have

any further questions or concerns. I trust that all information obtained during the study

will be treated as confidential.

By signing this confirmation, I confirm that I have given my consent for my child to

participate in the research study.

Respectfully Yours,

(Signature Over Printed Name)_______

Parent/Legal Guardian

Address: East Kalayaan, Subic Bay Freeport Zone, Olongapo City, Zambales
Contact No.: (047) 252-6046/ (047) 252-1117
Email Address: rshs@deped-olongapo.com
Official Website: https://www.facebook.com/DepEdOC.RSHS3/
“Scientia Vinces: Through Knowledge, We Win”