MISAMIS OCCIDENTAL SCIENCE AND TECHNOLOGY HIGH SCHOOL

Pines, Oroquieta City

DEWORMING PARENTAL/GUARDIAN CONSENT

_______________________________
(Date)
TO WHOM IT MAY CONCERN:

I, _________________________________________________________________ do hereby permit my son/daughter

(Name of Parent/Guardian)

_________________________________________________________________- _________________________to take deworming tablet.

(Name of son/daughter) (Year & Section)

_______________________________________________
Signature over printed name

MISAMIS OCCIDENTAL SCIENCE AND TECHNOLOGY HIGH SCHOOL

Pines, Oroquieta City

DEWORMING PARENTAL/GUARDIAN CONSENT

_______________________________
(Date)
TO WHOM IT MAY CONCERN:

I, _________________________________________________________________ do hereby permit my son/daughter

(Name of Parent/Guardian)

_________________________________________________________________- _________________________to take deworming tablet.

(Name of son/daughter) (Year & Section)

_______________________________________________
Signature over printed name

MISAMIS OCCIDENTAL SCIENCE AND TECHNOLOGY HIGH SCHOOL

Pines, Oroquieta City

DEWORMING PARENTAL/GUARDIAN CONSENT

_______________________________
(Date)
TO WHOM IT MAY CONCERN:

I, _________________________________________________________________ do hereby permit my son/daughter

(Name of Parent/Guardian)

_________________________________________________________________- _________________________to take deworming tablet.

(Name of son/daughter) (Year & Section)

_______________________________________________
Signature over printed name