Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa

Kontra Bulate Kontra Bulate

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name
Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa
Kontra Bulate Kontra Bulate
To Whom It May Concern: To Whom It May Concern:

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name
Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa
Kontra Bulate Kontra Bulate
To Whom It May Concern: To Whom It May Concern:

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name
Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa
Kontra Bulate Kontra Bulate
To Whom It May Concern: To Whom It May Concern:

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name
Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa
Kontra Bulate Kontra Bulate
To Whom It May Concern: To Whom It May Concern:

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name
Parent’s Consent for the Sabayang Gamutan Para Sa Parent’s Consent for the Sabayang Gamutan Para Sa
Kontra Bulate Kontra Bulate
To Whom It May Concern: To Whom It May Concern:

I hereby allow my son / daughter ____________________ I hereby allow my son / daughter ____________________
_________________________ to be dewormed and given _________________________ to be dewormed and given
albendazole by the teacher supervised by the health personnel albendazole by the teacher supervised by the health personnel
at the school premises. at the school premises.

______________________________________ ______________________________________
Parent/ Guardian Signature Over Printed Name Parent/ Guardian Signature Over Printed Name