Scribd
Upload
222 views2 pages

SSLG Parental Consent

Sample Parental Consent

Uploaded by

Jhimson Cabral
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
222 views2 pages

SSLG Parental Consent

Sample Parental Consent

Uploaded by

Jhimson Cabral
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
You are on page 1/ 2

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS PROVINCE
BUHAYNASAPA INTEGRATED NATIONAL HIGH SCHOOL
Buhaynasapa, San Juan, Batangas
Office of the School Youth Formation

PARENTAL CONSENT AND WAIVER


I/We hereby willingly and voluntarily give consent for my/our
son/daughter,

_____________________________________________, ______________________________________
(Name of the Learner) (Position in the Organization)

of the Supreme Secondary Learner Government (SSLG) of this institution to


participate in the activity, Youth Parade as part of the Municipal celebration for
Linggo ng Kabataan 2024 to be held on August 16, 2024, 6:00 to 8:00AM at
Municipal Gymnasium, Poblacion, San Juan, Batangas.

I have considered the benefits that my son or daughter will derive from his/her
participation in this study. I also acknowledge the potential risks involved and
understand that all necessary precautions will be taken to ensure the safety and well-
being of my/our child.

In the event of an emergency where medical treatment is required, I give my


permission for the teacher in-charge of the activity to seek appropriate medical care
for my child. I agree to be responsible for any costs incurred as a result of such
medical treatment.

Photography/ Videography Consent


( ) I give consent ( ) I do not give consent
For my child to be photographed or videotaped during the activity for use in promotional
materials, newsletters, social media, or the Buhaynasapa Integrated National High School
and its Supreme Secondary Learner Government (SSLG) website.

JHIMSON V. CABRAL, PhD


Name of Parent/ Guardian SSLG Chief Adviser
(Signature over printed name) (Signature over printed name)

Contact No.: _________________________ Contact No.: _________________________


Date Signed: _________________________ Date Signed: _________________________

ATTESTED:
______________________________________
Class Adviser
(Signature over printed name)

Contact No.: _________________________

School: Buhaynasapa Integrated National High School


Address: Buhaynasapa, San Juan, Batangas
Telephone No: (043) 575 4581
Email: 301090@deped.gov.ph
Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS PROVINCE
BUHAYNASAPA INTEGRATED NATIONAL HIGH SCHOOL
Buhaynasapa, San Juan, Batangas

Date Signed: _________________________

School: Buhaynasapa Integrated National High School


Address: Buhaynasapa, San Juan, Batangas
Telephone No: (043) 575 4581
Email: 301090@deped.gov.ph

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy