Republic of the Philippines
Department of Education
Region IV-A CALABARZON
City Schools Division of Batangas City
Alangilan Senior High School
Alangilan, Batangas City
CONSENT FORM
I, _____________________________, of legal age, hereby allow my _____________
(Name of Parent/Guardian) (relationship to the child)
____________________________ _____________________ to participate in
(Student Name) (Strand/ Grade/Section)
the Division of Batangas City Schools Press Conference________________________
on December 19 Monday ( online)- 20 Tuesday ( face to face), 2022_______to be held at
Batangas City Dec. 20,2022
(Name of Activity) (Date of Activity)
_______Batangas City_( various venues)________.
(Place of event)
I am fully aware of the protection to abide by the obligations which imposes on me as the
parent/legal guardian of the above-named child.
I confirm that all details are correct and I am able to give parental consent for my child to
participate on the said activity.
Name:(please print)_________________________________________
Signature _____________________________________
Contact Details
Name of Child__________________________________________
Address_______________________________________________
_______________________________________________
Parent’s Mobile Phone No. ________________________________
Address: Primewater Road, Alangilan, Batangas City, Batangas 4200
Telephone No: (043) 741 - 8682
Email:
[email protected] “Soar High with Excellence, Lead with Confidence”