_________________________________________________________________________________

___________________________

PARENT/LEGAL GUARDIAN CONSENT

I, We hereby willingly and voluntarily give consent to the participation of my/our

son/daughter ___________________________ in the LEARNING CAMP from July 24, 2023 –
August 25, 2023.
I have considered the benefits that my son/daughter will get from his/her participation in this
activity provided that due care and precautions will be observed to ensure the comfort and safety of
my son/daughter. DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

_________________________ _________________________
Signature of Father over Signature of Mother over
Printed Name and Date Printed Name and Date

_________________________
Signature of Guardian over
Printed Name/Date

_________________________
Relationship with the Learner

Verified by:

_________________________ Date:_______________________
Teacher

San Mariano I District

UEG NATIONAL HIGH SCHOOL - 300595
e-Mail:300595@deped.gov.ph