Republic of the Philippines

Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OFFICE OF OCCIDENTAL MINDORO
SAN JOSE SOUTH DISTRICT

_______________
Date

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter _____________________________________________________ in
the Pre-DSPC Cliniquing on April 14-15, 2024 at Caminawit Central School and the
Division Schools Press Conference on April 16-19, 2024 at Pedro T. Mendiola, Sr.
Memorial National High School.

I have considered the benefits that my son or 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.

Signature of Guardian over Printed name

(Relationship with the Campus Journalist)