Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Cagayan
Solana west educational zone
Gadu elementary school

PARENT CONSENT FORM

Date:

Sir/Madam:

This is to inform you that I give my consent to the attendance

and participation of my son/daughter _______________________________

to become one of the respondents in the research titled

“____________________________________________________________________

_____________________________________________________________________

__________________________________________________________________.”

I have considered the benefits that my son/daughter will derive

from his/her participation from this activity.

__________________________________

Parent’s Signature over Printed Name