Republic of the Philippines

Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF CALAPAN CITY
COMMUNITY VOCATIONAL HIGH SCHOOL
MASIPIT, CALAPAN CITY

Annex 1

Learning Camp Registration Template

Camp Group: _____________________________

Name: ___________________________________

Grade Level: ______________________________

If in Senior High School, specify the strand: ________________________

Age: ____________________________________

Address: _________________________________

Parent/Legal Guardian: _________________________________________

Contact Number: __________________________

Final Grade in English: _____________________

Mathematics: _________________

Science: _____________________

COMMUNITY VOCATIONAL HIGH SCHOOL

Building Dreams, Transforming Lives, Leading Tomorrow
Masipit, Calapan City, Oriental Mindoro
Contact No.: (043) 288 – 6490
 Republic of the Philippines
Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF CALAPAN CITY
COMMUNITY VOCATIONAL HIGH SCHOOL
MASIPIT, CALAPAN CITY

Annex 2

___________________________
Date

PARENT/LEGAL GUARDIAN CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ___________________________________ on the National Learning Camp
from July 24-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 precaution 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 accident that may happen beyond their control.

_________________________________
________________________________
Signature of Father over Printed Name Signature of Mother over Printed Name
and Date and Date

_________________________________
Signature of Legal Guardian over Printed
Name and Date
________________________________
Relationship with the Learner

Verified by:

_________________________________________ Date: ________________

Teacher

COMMUNITY VOCATIONAL HIGH SCHOOL

Building Dreams, Transforming Lives, Leading Tomorrow
Masipit, Calapan City, Oriental Mindoro
Contact No.: (043) 288 – 6490
 Republic of the Philippines
Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF CALAPAN CITY
COMMUNITY VOCATIONAL HIGH SCHOOL
MASIPIT, CALAPAN CITY

Note: If No Parent/s, submit Affidavit of Guardianship duly certified by the teacher. If parents are abroad, a
Special Power of Attorney (SPA) is needed.

COMMUNITY VOCATIONAL HIGH SCHOOL

Building Dreams, Transforming Lives, Leading Tomorrow
Masipit, Calapan City, Oriental Mindoro
Contact No.: (043) 288 – 6490