Annex 2
Parent’s Consent Template
Republic of the Philippines
Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Pi g c a r a ng a n, Tubo d, L a na o de l No r t e
(Date)
PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent to the
participation of my/our son/daughter _____________________ in the Learning
Camp from ____________.
I/We have considered the benefits that my son/daughter will get
from his/her participation in this activity provided that due care and
precaution will be observed to ensure the comfort and safety of my
son/daughter. DepEd employees and personnel may be held responsible for
any encountered incident that may happen beyond their control.
______________________________
Signature of Father over Printed
Name and Date
______________________________
Signature of Mother over Printed
Name and Date
___________________________
Signature of Guardian over
Printed Name/ Date
____________________________
Relationship with the Learner
Verified by:
___________________________
Teacher
Date:___________
Annex 1
Learning Camp Registration Template
Republic of the Philippines
Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
Pi g c a r a ng a n, Tubo d, L a na o de l No r t e
Learning Camp Registration Template
Camp Group:
____________________________________
Name:
____________________________________
Grade Level:
____________________________________
If in Senior High School, specify the strand: ________________________________
Age:
_____________________
Address:
______________________
Parent/Legal Guardian :
___________________________________
Contact Number: ___________________________
Final Grade in English: _____________________________
Math : _______________________________
Science: ____________________________