Republic of the Philippines
Department of Education
REGION VIII - EASTERN VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
Date: _________________________
P A R E N TA L CONSENT
I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _____________________________________________________ in the 2024
Regional Science, Technology, and Mathematics Fair (RSTMF) on November 5-8,
2024 in Tacloban City.
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 and that DepED
employees and personnel may not be held responsible for any untoward incident
that may happen beyond their control.
Signature of Father: ____________________ Signature of Mother: __________________
Name of Father: _________________________ Name of Mother:
______________________
________________________________________
Signature of Guardian over Printed name
(Relationship with the participant)
Verified by:
_____________________________
Teacher-Adviser/School Head
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Maharlika Highway, Purok 4, Brgy. Payao, Catbalogan City 6700, Samar, Philippines
(055) 544-9042 | catbalogan.division@deped.gov.ph
ICC-OASDS/Lfb.com/CatbaloganCityDivision
