Consent NLC
Consent NLC
Consent NLC
Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF CALAPAN CITY
COMMUNITY VOCATIONAL HIGH SCHOOL
MASIPIT, CALAPAN CITY
Annex 1
Name: ___________________________________
Age: ____________________________________
Address: _________________________________
Mathematics: _________________
Science: _____________________
Annex 2
___________________________
Date
I/We hereby willingly and voluntarily give consent to the participation of my/our
son/daughter ___________________________________ on the National Learning Camp
from July 24-August 25, 2023.
I 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 not be held responsible
for any untoward accident that may happen beyond their control.
_________________________________
________________________________
Signature of Father over Printed Name Signature of Mother over Printed Name
and Date and Date
_________________________________
Signature of Legal Guardian over Printed
Name and Date
________________________________
Relationship with the Learner
Verified by:
Note: If No Parent/s, submit Affidavit of Guardianship duly certified by the teacher. If parents are abroad, a
Special Power of Attorney (SPA) is needed.