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    Parental Consent Form

    Uploaded by

    JAKE FRANCIS LUMBRES
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    © All Rights Reserved
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    Parental Consent Form

    Uploaded by

    JAKE FRANCIS LUMBRES
    3 views1 page
    Reference

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    © © All Rights Reserved

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    Reference

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3 views1 page

    Parental Consent Form

    Uploaded by

    JAKE FRANCIS LUMBRES
    Reference

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines

    Department of Education
    CARAGA REGION XIII
    SCHOOLS DIVISION OF SURIGAO DEL NORTE
    ALEGRIA STAND ALONE SENIOR HIGH SCHOOL
    School ID 340416

    Parental Consent Form

    I confirm that _____________________________________________________ is the parent/legal


    guardian of ROGELIO A. PAAS, JR.

    I hereby consent to the above child participating in the implementation of rules and regulations of
    the Republic Act 11596 titled “An Act Prohibiting the Practice of Child Marriage and Imposing
    Penalties for Violations Thereof” to be held in Mallberry Suites Business Hotel, Cagayan de Oro City
    on October 14-17. I have provided contact details below and undertake to inform the SSG Adviser of
    the organization of any changes to this information.

    I confirm that all details are correct and I am able to give parental consent for my child to participate
    in the public consultations for child sector. I confirm that I have read the school’s Child Protection
    Policy and undertake to abide by the obligations which it imposes on me as the parent/legal
    guardian of the above-named child.

    I acknowledge that the school is not responsible for providing adult supervision for my child except
    as set out of the school’s Child Protection Policy.

    Name of Parent:

    Signature:

    Contact Details

    Name of Child:

    Address:

    Parent’s Mobile Phone No.:

    Emergency Contact No.:

    Address: Brgy. Ouano, Alegria, Surigao del Norte


    Telephone no.: (086) 8000029

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