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Parent Consent

This document is a parent consent form for a school-based deworming program at Codon Elementary School in the Philippines. Parents or guardians are required to provide their consent for their child to participate in the deworming activity scheduled for February 28, 2024. The form includes spaces for the parent's name, child's name, grade, and signature.

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Francis Surban
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16 views1 page

Parent Consent

This document is a parent consent form for a school-based deworming program at Codon Elementary School in the Philippines. Parents or guardians are required to provide their consent for their child to participate in the deworming activity scheduled for February 28, 2024. The form includes spaces for the parent's name, child's name, grade, and signature.

Uploaded by

Francis Surban
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 V (BICOL)
SCHOOLS DIVISION OF CATANDUANES
San Andres West District
CODON ELEMENTARY SCHOOL
Codon, San Andres, Catanduanes

PARENT CONSENT

I _________________________________________, parent/guardian of
_________________________________________________, who is in Grade _______________ give my
full consent to my child to participate in the School-based Deworming on February 28, 2024 and I
voluntary consent my child to participate and partake the deworming chewable tablet on the said activity.

____________________________________
Signature over printed name of parent/guardian

Republic of the Philippines


Department of Education
REGION V (BICOL)
SCHOOLS DIVISION OF CATANDUANES
San Andres West District
CODON ELEMENTARY SCHOOL
Codon, San Andres, Catanduanes

PARENT CONSENT

I _________________________________________, parent/guardian of
_________________________________________________, who is in Grade _______________ give my
full consent to my child to participate in the School-based Deworming on February 28, 2024 and I
voluntary consent my child to participate and partake the deworming chewable tablet on the said activity.

____________________________________
Signature over printed name of parent/guardian

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