District Meet Parental Consent

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Republic of the Philippines

Department of Education
REGION III - CENTRAL LUZON
TARLAC PROVINCE
PANIQUI SOUTH DISTRICT
CORAL ELEMENTARY SCHOOL

PARENTAL CONSENT

Date: 10/11/2024

To Whom It May Concern:

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

our son/daughter
in in all School Sports Meets
up to the Palarong
Pambansa.

I/We have considered the benefits that my son or daughter will derive from
his/her participation in this activity provided that due care, diligence and necessary
precautions will be observed to ensure his/her health and safety.

Further, I/We authorize the personnel of Department of Education to collect,


process, retain, and dispose of personal information of the above-mentioned athlete in
accordance with the Data Privacy Act of 2012.

Signature of Father Signature of Mother Over Printed Name


Over Printed Name

Verified:
School Head/Registrar
ALBERT N. VALDEZ JR
Adviser (Signature Over Printed Name)

(Signature Over Printed


Name)

Remarks:

Note:
Submit the necessary documents, i.e. Affidavit/Sworn Statement of Actual Care and Custody duly
verified by the adviser and school head, in cases signature of parents are unavailable.

FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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