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NLC Parents Consent

The document is a consent form for parents or legal guardians to allow their child to participate in a Learning Camp organized by Dona Loreto Ledesma Mapa Memorial School. It emphasizes the importance of safety and the non-liability of DepEd employees for any incidents beyond their control. Additional notes are provided for cases where parents are unavailable, requiring an affidavit or special power of attorney.

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Ailyn Barbadillo
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38 views1 page

NLC Parents Consent

The document is a consent form for parents or legal guardians to allow their child to participate in a Learning Camp organized by Dona Loreto Ledesma Mapa Memorial School. It emphasizes the importance of safety and the non-liability of DepEd employees for any incidents beyond their control. Additional notes are provided for cases where parents are unavailable, requiring an affidavit or special power of attorney.

Uploaded by

Ailyn Barbadillo
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 VII – CENTRAL VISAYAS
DIVISION OF TANJAY CITY

DONA LORETO LEDESMA MAPA MEMORIAL SCHOOL


Nagsala, Sta. Cruz Nuevo, Tanjay City Negros Oriental

______________________________
Date
PARENT/LEGAL GUARDIAN CONSENT

I/We hereby willingly and voluntarily give consent to the participation of


my/our son/daughter ______________________________________ in the Learning
Camp from ________________________________.

I/We have considered the benefit that my/our 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/our son/daughter. DepEd
employees and personnel may not be held responsible for any untoward
incident that may happen beyond their control.

______________________________________ ______________________________________
Signature of Father Over Signature of Mother Over
Printed Name and Date Printed Name and Date

______________________________________
Signature of Guardian Over
Printed Name and Date

______________________________________
Relationship with the Learner
Verified by:

Date:
______________________________________ ________________________________
Teacher

Note: If NO Parent/s, submit Affidavit of Guardianship duly verified by the teacher. If the
parents are abroad, a Special Power of Attorney (SPA) is required.

Magallanes St., Opao, Brgy IX, Tanjay City, Negros Oriental


Telephone/Fax No.: (035) 415-9630; Email: [email protected];
Workplace/Fb page: DepEd Tayo – Tanjay City; website: www.depedtanjaycitydivision.com

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