Paniqui West District

Aduas Elementary School

Paniqui, Tarlac

Date: _____________

NOLI B. PATRICIO, Ph. D.

Principal
Aduas Elementary School
Paniqui Tarlac

Sir:

In line with the government policy and confirmatory with the highest ethical standards of public services, the
undersigned here with is asking for your favorable consideration to conduct Reading remediation on
____________________ to obtain the teacher’s teaching matrix for pupils who needs reinforcement in reading for the
School Year 2019 – 2020.

For your file and reference.

Respectfully yours,

ANNIE GLENN M. AGPOON

Reading Remediation, Focal person
 Paniqui West District
Aduas Elementary School
Paniqui, Tarlac

PARENTAL CONSENT FORM

I hereby willingly and voluntarily give consent the participation of my son / daughter
__________________________________________________in Remedial Reading Program conducted
by Aduas Elementary School.

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 employee and personnel may not be held responsible for any
untoward incident that may happen beyond their control.

_______________________________________________________
Signature over Printed Name of Parents/Guardians

Noted:

NOLI B. PATRICIO, Ph. D.

Principal