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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
Division of Zamboanga Sibugay
Diplahan National High School
Poblacion, Diplahan, Zamboanga Sibugay
(062) 957-2818 0999 994 2037 www.facebook.com/DiplahanNHS/ diplahannhs1967@gmail.com

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent to the participation of my son/daughter
____________________________________ to attend the Lecture – Workshop on the Preliminaries of Movements on
September 7, 2019 (Saturday) at Saint Paul School of Buug, Datu Panas, Buug, Zamboanga Sibugay.

I have considered the benefits that my son/daughter will get from his/her participation in this immersion with the
understanding that due care and precaution will be observed to ensure the comfort and safety of your daughter / son for
the said activity.

_________________________________ _________________________________
Signature over Printed Name of Mother Signature over Printed Name of Father
or

Signature of Guardian over Printed name

(Relationship with the Student)


Verified:
Approved:

Class Adviser
SALVADOR D. ARQUILITA
School Principal III

----------------------------------------------------------------------------------------------------------------------------------------------

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
Division of Zamboanga Sibugay
Diplahan National High School
Poblacion, Diplahan, Zamboanga Sibugay
(062) 957-2818 0999 994 2037 www.facebook.com/DiplahanNHS/ diplahannhs1967@gmail.com

P A R E N TA L C O N S E N T

I/We hereby willingly and voluntarily give consent to the participation of my son/daughter
____________________________________ to attend the Lecture – Workshop on the Preliminaries of Movements on
September 7, 2019 (Saturday) at Saint Paul School of Buug, Datu Panas, Buug, Zamboanga Sibugay.

I have considered the benefits that my son/daughter will get from his/her participation in this immersion with the
understanding that due care and precaution will be observed to ensure the comfort and safety of your daughter / son for
the said activity.

_________________________________ _________________________________
Signature over Printed Name of Mother Signature over Printed Name of Father
or

Signature of Guardian over Printed name

(Relationship with the Student)

Approved:
Class Adviser

SALVADOR D. ARQUILITA
School Principal III

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