PARENT’S CONSENT FORM
Date:
Dear Mr./Mrs. :
This is to inform you that your son/daughter will be attending/participating in the
Title of the Activity: Tree Planting Activity
Venue: Bagong Silang, Sitio Balutakay, Date: December 14, 2024
Bansalan, Davao del Sur
Contact Information of Organizers,
Name: Roy R. Molina
Contact #:
[email protected]The said activity is an in-campus or off-campus activity that requires your consent for your
son/daughter (student) to participate. Kindly indicate your response on this request by signing
below.
Sincerel
y, Contact No: [email protected]
ROY R. MOLINA
Adviser/
Moderator
Noted by:
CHRISTINE MAY T. MANGUBAT, LPT
Student Development & Organization Institute
Coordinator Dean
Recommending Approval: Approved by:
JERIC ANTHONY ARNADO, RGC, Ph.D SIVERLYN M. CAMPOSANO, Ph.D
Director, Office of Student Affairs and Vice President for Academic Affairs
Services
CERTIFICATE OF CONSENT
I/We, Mr./Mrs./Ms. , presently residing at
, parents/guardian of ,
a student of Davao del Sur College for the course/program of
hereby allow my/our to join the abovementioned activity on the date and place
specified.
I/we have clearly understood the purpose of the activity and will not held DSSC nor
any member of the said institution be liable for any untoward event/s that might occur
during the conduct of the above- mentioned activity. By signing below, I/we hereby give
consent for my/our child/sibling/student’s participation in the event.
Signature Over Printed Name Date Relationship to the Student Contact Number
NOTE: Forgery on the Parent’s Consent Form is considered a Grave Offense as stated in the DSSC SAS
Manual and
may result to suspension or expulsion
Kindly print in a long bond paper.
OSAS Form F1.1
