Lubang Integrated School

Brgy. Araw at Bituin, Lubang, Occidental Mindoro

I confirm that I _________________________________ the parent/legal guardian of

_____________________________________________, a student of Lubang Integrated School.

I hereby consent to the above child participating in the training program Volleyball every Saturday
and Sunday from 1:00pm to 5:00pm of this school year 2022-2023, except in case of a storm or
examination the following Monday as scheduled.

I acknowledge that the school will do its best for the safe and smooth conduct of practice games with
every student. Furthermore, in case of any unnatural happening, I will not hold the school
responsible.

________________________ __________________________
Signature over printed name Bryl John Lawrence Z. Villamar
Parent/Guardian Volleyball Head Coach

Attested by:

________________________
Mrs. Annaliza D. Tejones
Elementary Coordinator

Noted by:

______________________
Rommel R. Dela Cruz
School Principal II