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Parental Consent: Department of Education

The parental consent form gives permission for Juana C. Dela Cruz to participate in tennis for school sports meets up to the Palarong Pambansa national games. The parents acknowledge the benefits of participation if due care is taken for her health and safety. They also authorize the Department of Education to handle her personal information in accordance with data privacy laws. The form is signed by the parents and verified by the school adviser and head.

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47 views1 page

Parental Consent: Department of Education

The parental consent form gives permission for Juana C. Dela Cruz to participate in tennis for school sports meets up to the Palarong Pambansa national games. The parents acknowledge the benefits of participation if due care is taken for her health and safety. They also authorize the Department of Education to handle her personal information in accordance with data privacy laws. The form is signed by the parents and verified by the school adviser and head.

Uploaded by

Jojo Jojo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019

Republic of the Philippines


DEPARTMENT OF EDUCATION
___________1____________
(Region)
_SCHOOLS DIVISION OFFICE 1 PANGASINAN
(Division)
MALINIS ELEMENTARY SCHOOL
(School)
MALINIS, MALIGAYA, PANGASINAN
(School Address)

_AUGUST 19, 2019_


Date

PARENTAL CONSENT

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


my/our son/daughter DELA CRUZ, JUANA C.________ in
TENNIS__ 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.

PEDRO Q. DELA CRUZ MARIA C. DELA CRUZ


Signature of Father Over Printed Name Signature of Mother Over Printed Name

Verified:

MARTINA M. MARTIN RICARDO M. DALISAY


Adviser School Head/Registrar
(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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