Republic of the Philippines
DEPARTMENT OF EDUCATION
REGION XI
Division of Davao del Sur
Santa Cruz South District
-oOo-
PARENT/GUARDIAN’S CONSENT
TO WHOM IT MAY CONCERN :
I, the undersigned parent/guardian of ______________________________________,
hereby grant my full consent for him/her to participate in the Little Doctors and Little Nurses
Training to be held on August 27, 2024, at Santa Cruz Central Elementary School.
I understand that this activity is organized as part of the school’s health and wellness
program with the objective of developing awareness, responsibility, and preparedness among
pupils in matters related to basic health care and first aid. I acknowledge that my child’s
participation will contribute to his/her personal growth, discipline, and sense of service to
others.
In allowing my child to join, I recognize that the organizers and facilitators will
exercise due care and supervision to ensure the safety and well-being of all participants.
However, I also understand that certain circumstances may arise beyond the control of the
school or the Department of Education (DepEd). With this, I willingly and voluntarily agree
not to hold the DepEd authorities, school officials, teachers, and staff liable for any untoward
incident that may occur during the said activity, provided that such incident is not due to
negligence.
By signing below, I affirm that I have read and fully understood the contents of this
consent and waiver form, and I am giving my voluntary approval for my child’s participation
in the said training.
______________ _______________________________________
( Date ) (Signature over Printed Name of Parent/Guardian)
