Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF CITY OF SAN FERNANDO
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
San Juan, City of San Fernando, Pampanga

Consent Letter

April ____, 2024

Dear Participant,

Subject: Consent to Participate in [Study Title]

We are conducting a study titled "[Study Title]," led by [ researchers Name] from 11
GAS in City of San Fernando West Integrated School. The purpose of this study is to
[briefly describe the study's purpose in simple]. Your participation in this study is
voluntary, and this letter provides you with information about the study so that you can
make an informed decision about your participation.

Consent:
If you agree to participate in this study, please sign below, indicating that you have read
and understood the information provided above, and consent to participate. A copy of this
consent form will be provided to you for your records.

I, _________________________, agree to participate in the study titled "[Study Title]."

Participant's Signature: ________________________ Date: ___________

Thank you for considering participating in our study.

Sincerely,

[Researchers ‘Name]
Grade and section.

City of San Fernando West Integrated School

Address: Purok 1, Brgy. San Juan, CSFP