Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO
OTON NATIONAL HIGH SCHOOL
OTON, ILOILO
Senior High School Department
S.Y. 202_-202_
PARENTAL CONSENT & WAIVER FORM
DATE:
I _______________________________(parent/guardian) of _________________________________(name of learner) Grade 12-______________
allows my son/daughter to participate in the RESEARCH ACTIVITY as a course requirement for Grade 12 learners this
Second Semester of School Year 202_-202_. The RESEARCH ACTIVITY venue is at _____________________________________________
_______________________________________________on _________________________________________________ from ____ am to _____pm.
Furthermore, in case of any untoward incident or COVID-related issues that might arise during activity which is beyond
the control of the school and the work immersion partner, I agree that they shall not be held responsible.
____________________________________________________
PARENT’S SIGNATURE OVER PRINTED NAME
_ _ _ _ _ _ _ - _ _ _ _ _ _ _
Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO
OTON NATIONAL HIGH SCHOOL
OTON, ILOILO
Senior High School Department
S.Y. 202_-202_
PARENTAL CONSENT & WAIVER FORM
DATE:
I _______________________________(parent/guardian) of _________________________________(name of learner) Grade 12-______________
allows my son/daughter to participate in the RESEARCH ACTIVITY as a course requirement for Grade 12 learners this
Second Semester of School Year 202_-202_. The RESEARCH ACTIVITY venue is at _____________________________________________
_______________________________________________on _________________________________________________ from ____ am to _____pm.
Furthermore, in case of any untoward incident or COVID-related issues that might arise during activity which is beyond
the control of the school and the work immersion partner, I agree that they shall not be held responsible.
____________________________________________________
PARENT’S SIGNATURE OVER PRINTED NAME
