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Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Cagayan
LAL-LO NATIONAL HIGH SCHOOL

PARENT’S/ GUARDIAN’S CONSENT AND WAIVER


TO WHOM IT MAY CONCERN:
I HEREBY give my full consent to my son/daughter _____________________________ to participate in
the _________________________ on ___________________ to be held at ____________________
considering that his /her participation in this/these activity/ies is beneficial in his/ her mental and social
growth and well-being. It is desired however that due care and precautions will be observed to ensure the
comfort and safety of my son/daughter. Further, I am waiving the liability of the concerned
institution/individual should any unforeseen and fortuitous events happen.

________________________________ _____________________________
Father/ Mother Guardian
________________________________ _____________________________
Date Signed Date Signed
Address: P. Dupaya St., Centro, Lal-lo, Cagay
Telephone No.: 078-377-0335/078-377-1792
Email Address: 300469@deped.gov.ph
Website: https://deped-lallonhs.com/

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