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Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF ILOCOS SUR
STO.DOMINGO-SAN ILDEFONSO DISTRICT
FLORA ELEMENTARY SCHOOL
School id No. 100726

Parent’s Consent
Dear Ma’am,
This is to give permission to my child ______________________________
to attend the Children’s Day 2024 on January 14, 2024 @ 8:30 AM at Sto.
Domingo De Guzman Parish.
I shall not hold the school (Flora Elementary School) and the
Department of Education liable for any untoward incident.

______________________________________
Signature over Printed Name of Parent

______________________________________
Date Signed

Flora, Sto. Domingo, 2729 Ilocos Sur “SERVICE WITH FERVOR, EMPATHY, AND SINCERITY”
09175592570
✉ 100726@deped.gov.ph
DepEd Tayo Flora Elementary School

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