Republic of the Philippines

Department of Education
REGION 10, NORTHERN MINDANAO
(Region)
Misamis Occidental
Division
CARMEN INTEGRATED SCHOOL
(School)
CARMEN, JIMENEZ, MIS. OCC.
(School Address)

9/04/2019
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _____ALJOHN TARUC______ in the School, Division, Regional Meet and
Palarong Pambansa.

I have considered the benefits that my son/daughter will derive 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/daugther and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________ __________________________
Signature of Father Signature of Mother

________ DINETHA D. TARUC _________

Name of Father Name of Mother

____________________________________
Signature of Guardian over Printed name

____________________________________
(Relationship with the Athlete)

Verified by:
MARJORIE V. TAGBO
Teacher-Adviser

CHARITO E. GALINDO
School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
REGION 10, NORTHERN MINDANAO
(Region)
Misamis Occidental
Division
CARMEN INTEGRATED SCHOOL
(School)
CARMEN, JIMENEZ, MIS. OCC.
(School Address)

9/04/2019
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _____JELLE ANGELA C. PAYE in the School, Division, Regional Meet
and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive 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/daugther and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________ __________________________
Signature of Father Signature of Mother

____ JOHNIEL D. PAYE___ ___ SABRINA C. PAYE__ _____

Name of Father Name of Mother

____________________________________
Signature of Guardian over Printed name

____________________________________
(Relationship with the Athlete)

Verified by:
MARJORIE V. TAGBO
Teacher-Adviser

CHARITO E. GALINDO
School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
REGION 10, NORTHERN MINDANAO
(Region)
Misamis Occidental
Division
CARMEN INTEGRATED SCHOOL
(School)
CARMEN, JIMENEZ, MIS. OCC.
(School Address)

9/04/2019
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _____MELCHA JOY C. CABALOG in the School, Division, Regional
Meet and Palarong Pambansa.

I have considered the benefits that my son/daughter will derive 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/daugther and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________ __________________________
Signature of Father Signature of Mother

GRAY P. CABALOG LEONOR H. CAGAMPANG_____

Name of Father Name of Mother

____________________________________
Signature of Guardian over Printed name

____________________________________
(Relationship with the Athlete)

Verified by:
ALONA JANE P. GALINDO
Teacher-Adviser

CHARITO E. GALINDO
School Head/Registrar

Remarks:
 Republic of the Philippines
Department of Education
REGION 10, NORTHERN MINDANAO
(Region)
Misamis Occidental
Division
CARMEN INTEGRATED SCHOOL
(School)
CARMEN, JIMENEZ, MIS. OCC.
(School Address)

9/04/2019
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter _____RACKY M. TAYAKTAK in the School, Division, Regional Meet and
Palarong Pambansa.

I have considered the benefits that my son/daughter will derive 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/daugther and that DepED employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

_____________________ __________________________
Signature of Father Signature of Mother

____OSCAR M. TAYAKTAK ELMA L. MAGHINAY_________

Name of Father Name of Mother

____________________________________
Signature of Guardian over Printed name

____________________________________
(Relationship with the Athlete)

Verified by:
ALONA JANE P. GALINDO
Teacher-Adviser

CHARITO E. GALINDO
School Head/Registrar

Remarks: