Republic of the Philippines

ISABELA STATE UNIVERSITY

Cabagan, Isabela
OFFICE OF THE SUPREME STUDENT COUNCIL

______________________
Date

CONSENT OF PARENTS or STUDENT’S GUARDIAN

THIS IS TO CERTIFY that I, ________________________________

parent/guardian of _____________________________________ permits my son/daughter
to attend the 42nd Annual Convention of Campus Advisers and 36 th Annual National
Convention for Student Leaders with the theme “Connectivity 2022: LEAD through
borderless community” Leadership Essentials, E-nnovation-driven, Adversity Resilience,
Dynamic Energy on March 8-11, 2023 at Baguio Teacher’s Camp, Baguio City,
Philippines considering the benefits he/she will derive from such participation. Being a
parent/guardian, I trust that necessa\ry precautions will be taken to ensure the safety of my
child. However, should anything untoward happening beyond human controls occurs, I will
not hold any school official or anyone else responsible.

__________________________
Parent/Guardian
(Signature over Printed Name)

SUBSCRIBED AND SWORN to before me, this ___________________, by

____________________ who exhibited to me (his/her) competent proof of identification
______________________________________ issued at __________________,
Philippines on __________________.

Notary Public

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of _______;
_________________________________________________________________________