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DSPC Cliniquing Parental Consent

This document contains a participant information sheet and parental consent form for a school paper cliniquing event. The information sheet requests the participant's name, school, paper title, adviser, category and contact number. The parental consent form has the parents agree to allow their son/daughter to participate in the October 21, 2023 event at San Roque Elementary School and acknowledges the school will take precautions to ensure the participant's health and safety. The form must be signed by both parents/guardians and is then approved by the school paper adviser and SHS coordinator.

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0% found this document useful (0 votes)
60 views2 pages

DSPC Cliniquing Parental Consent

This document contains a participant information sheet and parental consent form for a school paper cliniquing event. The information sheet requests the participant's name, school, paper title, adviser, category and contact number. The parental consent form has the parents agree to allow their son/daughter to participate in the October 21, 2023 event at San Roque Elementary School and acknowledges the school will take precautions to ensure the participant's health and safety. The form must be signed by both parents/guardians and is then approved by the school paper adviser and SHS coordinator.

Uploaded by

Choi Khai
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
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Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OFFICE OF SAN PEDRO CITY
SAN PEDRO RELOCATION CENTER NATIONAL HIGH SCHOOL
CITY OF SAN PEDRO, LAGUNA

PARTICIPANT’S INFORMATION SHEET

Name
School
Name of School
Paper
Name of School
Paper Adviser
Category
Contact No.
Grade and Section

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
___________________________ to attend the DSPC Cliniquing to be held on October 21, 2023 at San Roque
Elementary School, San Roque, City of San Pedro Laguna.

I/We have considered the benefits that my son/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.

__________________________________ ____________
Signature of Father/Guardian over Printed Name

_______________________________________________
Signature of Mother/Guardian over Printed Name

Noted by:

Erica C. Quiza
School Paper Adviser – The Root

Approved by:

Divina P. Manlangit
HT VI-English/SHS Coordinator

________________________________________________________________________________________________________
_____________________________________
Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OFFICE OF SAN PEDRO CITY
SAN PEDRO RELOCATION CENTER NATIONAL HIGH SCHOOL
CITY OF SAN PEDRO, LAGUNA

________________________________________________________________________________________________________
_____________________________________

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