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Waiver

This document is a parental consent form for a local tour for students at San Celestino Integrated National High School scheduled for February 2025. Parents acknowledge the benefits of their child's participation and authorize the collection and processing of personal information in compliance with the Data Privacy Act of 2012. The form requires signatures from both parents and verification from the school adviser and head, with additional instructions for cases where parental signatures are unavailable.

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51 views1 page

Waiver

This document is a parental consent form for a local tour for students at San Celestino Integrated National High School scheduled for February 2025. Parents acknowledge the benefits of their child's participation and authorize the collection and processing of personal information in compliance with the Data Privacy Act of 2012. The form requires signatures from both parents and verification from the school adviser and head, with additional instructions for cases where parental signatures are unavailable.

Uploaded by

ivy.corsat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
(Region)
LIPA CITY
(Division)
SAN CELESTINO INTEGRATED NATIONAL HIGH SCHOOL
(School)
SAN CELESTINO, LIPA CITY
(School Address)

PARENTAL CONSENT

Date: February 21, 2025

To Whom It May Concern:

I/We hereby willingly and voluntarily give consent to the participation of my/our son/daughter

in Local Tour on February __, 2025.

I/We have considered the benefits that my son or daughter will derive from his/her participation
in this activity provided that due care, diligence, and necessary precautions will be observed to
ensure his/her health and safety.

Further, I/We authorize the personnel of the Department of Education to collect, process,
retain, and dispose of personal information of the above-mentioned athlete in accordance with the
Data Privacy Act of 2012.

_____________________________________ _____________________________________
Signature of Father Over Printed Name Signature of Mother Over Printed Name

Verified:

_____________________________________ _____________________________________
Adviser School Head/Registrar
(Signature Over Printed Name) (Signature Over Printed Name)

Remarks:

Note:
Submit the necessary documents, i.e. Affidavit/Sworn Statement of Actual Care and Custody duly verified by
the adviser and school head, in cases the signatures of parents are unavailable.

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