Republic of the Philippines
Department of Education
OFFICE OF THE UNDERSECTARY FOR CURRICULUM AND TEACHING
Annex 2. Parent/Legal Guardian Consent Form
Region XII
Cotabato Division
Estado High School
Estado, Matalam, North Cotabato
______________________
Date
PARENT CONSENT
I/We hereby willingly and voluntarily give consent to the participation of
my/our son/daughter _______________________________ (name of learner)
_________________ in the National Learning Camp from July 2 to 4, 9 to 11, and 16 to
19.
I have considered the benefits that my son/daughter will get from his /her
participation in this activity provided that due care and precaution will be observed
to ensure the comfort and safety of my son/daughter and that DepEd employees
and personnel may not be held responsible for any untoward incident that happen
beyond their control.
___________________________
___________________________
Signature of Father over Signature of Mother over
Printed Name/Date Printed Name/Date
______________________________
Signature of Guardian over
Printed Name/Date
________________________________
Relationship with the Learner
Verified by:
_______________________________________________ Date: ___________________
Teacher
