Republic of the Philippines
Department of Education
Region 02(Cagayan Valley)
SCHOOLS DIVISION OFFICE OF ISABELA
SAN GUILLERMO DISTRICT
PALAWAN INTEGRATED SCHOOL 500083
San Guillermo, Isabela
PARENTAL CONSENT AND WAIVER
I / We am/ are allowing our daughter/ son
who is
currently enrolled at your school to join and participate in the Project EMTAP which will be held
once a week with only one hour and thirty minutes duration and which will start every
of the week on
until
at
A.M. . This Project as I understand has two modes of conducting it, the Limited
Face – to –Face with Modules and the Online Teaching, and I would prefer the
for which I believe the safer and the more convenient one and would better benefit
my /our child.
Should I/ We prefer the Limited Face - to - Face with Modules Mode , I/We together with my
/ our child , know that DepEd, the school and its officers, faculty and staff are expected to exercise the
legal diligence required for the safety and well – being of my/ our child for the duration of the activity.
This legal diligence would include oral and written instructions, whether given before or during the
activity that if followed, would ensure the safety of my/ our child . If my / our child disregards or
fails to follow those instructions or should act on his/ her own, I / We, together with my / our child,
shall have no claim against DepEd, the School, its officers, faculty and staff –in – charge
should any damage be caused or liability incurred to property or person.
Parent’s/ Guardian’s Signature Over Printed Name
Parent’s/ Guardian’s Signature Over Printed Name