Annex 2.
Parent/Legal Guardian Consent Form
Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
Division of Taguig City and Pateros
Upper Bicutan Elementary School
Gen. Santos Avenue Upper Bicutan, Taguig City
___________
Date
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the participation of
my/our son/daughter __________________________ in the Learning Camp from
______________________.
I have considered the benefits that my 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 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 Signature of Mother over
Printed Name/Date Printed
Name/Date
__________________________
Signature of Guardian over
Printed Name/Date
________________________________
Relationship with the Learner
Verified By:
________________________________________ Date: ___________
Teacher
Note: If No Parent/s, submit an Affidavit of Guardianship duly verified by the
teacher. If parents are abroad, Special Power of Attorney (SPA) is needed.
