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Republic of the Philippines

Department of Education
Region V- Bicol
SCHOOLS DIVISION OFFICE OF CAMARINES NORTE
Capalonga District
JUEVES-TALENTO ELEMENTARY SCHOOL
BRGY. CATABAGUANGAN, CAPALONGA, CAMARINES NORTE
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my son/daughter
____________________________
In the DISTRICT MEET 2024 from January 11-13, 2024 at
_________________________________________________________.

I have considered the benefits that my son/daughter will derive for his/her participation in this activity with the
understanding that due care and precaution will be observed to ensure the comfort and safety of the players and that DepEd
employees and personnel may not be held responsible for any untoward incident that may happen beyond their control.

_____________________________________ _____________________________________
Signature over printed Name of Father Signature over printed Name of Mother

____________________________________
Signature over printed Name of Guardian

____________________________________
Relationship with the Pupil

Verified by:
____________________________________ ____________________________________
Teacher/Adviser Coach

LEANDRO J. BARRAMEDA
School Head

Purok 2, Brgy. Catabaguangan, Capalonga, Camarines Norte


+639682927178
112112@deped.gov.ph

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