Parent Consent for School Special Curriculum Program
SY 2021-2022
Date: ____________________
I, ______________________________hereby state that I am the ________________________
(Relationship to the learner)
of ___________________________ with LRN # ______________________ who is presently in
(Name of the learner)
_____________________ do hereby signify my consent for my child/children to be included in
(Grade Level and Section)
School Special Curriculum Program that aim to level-up the academic performance of the learners
for the school year 2021-2022.
___________________________________
(Name and Signature of Parent/Guardian)
____________________
Date
Address City
Contact No.: (0946) 573-8902
E-mail Address: 308701@deped.gov.ph
FB Page: https://www.facebook.com/DepEdTayoISL308701