Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Quirino
District of Saguday
STO. TOMAS ELEMENTARY SCHOOL

P A R E N TA L C O N S E N T

I/We, ____________________________ (parents/guardian) hereby willingly and voluntarily give consent

the participation of my/our son/daughter __________________________ in the PROVINCIAL MEET from
February 26 -March 11 at Quirino Sports Complex, Capitol Hills, Cabarroguis, Quirino.

I have considered the benefits that my son/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 and that DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

__________________________________

Name and Signature of Father

__________________________________

Name and Signature of Mother

__________________________________

Name and Signature of Guardian

LORETA C. ACIERTO

Coach

NELIA D. MIGUEL

School Principal
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Quirino
District of Saguday
STO. TOMAS ELEMENTARY SCHOOL

P A R E N TA L C O N S E N T

I/We, ____________________________ (parents/guardian) hereby willingly and voluntarily give consent

the participation of my/our son/daughter ____________________________ in the Provincial Meet to be
held on March 11 to 14, 2024 at Quirino Sports Complex, Capitol Hills, Cabarroguis, Quirino.

I have considered the benefits that my son/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 and that DepEd employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

__________________________________

Name and Signature of Father

__________________________________

Name and Signature of Mother

__________________________________

Name and Signature of Guardian

LORETA C. ACIERTO

Coach

NELIA D. MIGUEL

School Principal
Name: ______________________________________ Score: ___________

Grade/Section: ________________________