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Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Schools Division of Tacloban City
District Learning Center III
SALVACION ELEMENTARY SCHOOL
School I.D. 124248

PARENT CONSENT
I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
______________________________________ in Kick-Off Ceremony of the Scouting Month Celebration on October 1, 2019 held at
Tacloban City. I have considered the benefits that my son or daughter will derive 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 may happen beyond their control.

______________________________ ________________________________
Signature of Father over Printed Name Signature of Mother over Printed Name

_______________________________
Signature of Guardian if not Parents over Printed Name

IDENIA C. SORILA
School BSP Coordinator

RONNA FE M. GEPULLANO
School GSP Coordinator LILY JULIANA T. DUMAS
Elementary School Principal I

Republic of the Philippines


Department of Education
Region VIII (Eastern Visayas)
Schools Division of Tacloban City
District Learning Center III
SALVACION ELEMENTARY SCHOOL
School I.D. 124248

PARENT CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
______________________________________ in Kick-Off Ceremony of the Scouting Month Celebration on October 1, 2019 held at
Tacloban City. I have considered the benefits that my son or daughter will derive 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 may happen beyond their control.

______________________________ ________________________________
Signature of Father over Printed Name Signature of Mother over Printed Name

_______________________________
Signature of Guardian if not Parents over Printed Name

IDENIA C. SORILA
School BSP Coordinator

RONNA FE M. GEPULLANO
School GSP Coordinator LILY JULIANA T. DUMAS
Elementary School Principal I

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