Department of Education

Region III – Central Luzon

Schools Division of Tarlac Province
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter _________________________________ to participate in the BSP/

GSP Joint Backyard Encampment at Camiling North Elementary School Ground on September
20 to 22, 2018. I express waive any and all claims against the Troop Leader concerned and the
school on any accident that will happen on the said activity beyond human control.

Further, I understand that my daughter is in good health condition to attend/participate

in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter _________________________________ to participate in the BSP/

GSP Joint Backyard Encampment at Camiling North Elementary School Ground on September
20 to 22, 2018. I express waive any and all claims against the Troop Leader Tarlac Province
Camiling Central District concerned and the school on any accident that will happen on the said
activity beyond human control.

Further, I understand that my daughter is in good health condition to attend/participate

in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
 Region III – Central Luzon
Schools Division of Tarlac Province
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter _________________________________ to participate in the BSP/

GSP Joint Backyard Encampment at Camiling North Elementary School Ground on October 13
to 15, 2016. I express waive any and all claims against the Troop Leader Tarlac Province
Camiling Central District concerned and the school on any accident that will happen on the
said activity beyond human control.

Further, I understand that my daughter is in good health condition to attend/participate

in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter _________________________________ to participate in the BSP/

GSP Joint Backyard Encampment at Camiling North Elementary School Ground on October 13
to 15, 2016. I express waive any and all claims against the Troop Leader Tarlac Province
Camiling Central District concerned and the school on any accident that will happen on the
said activity beyond human control.

Further, I understand that my daughter is in good health condition to attend/participate

in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number
Department of Education
Region III – Central Luzon
 Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter GERALDINE ARCIA B. ESTRADA to participate

in the 31st Regional Encampment at Central Luzon Regional Program and
Training Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on
February 25 to 29, 2016. I express waive any and all claims against the Troop
Leader concerned and the school on any accident that will happen on the said
activity beyond human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac
 I hereby permit my daughter PRINCESS ANGELA E. ESGUERRA to
participate in the 31st Regional Encampment at Central Luzon Regional Program
and Training Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on
February 25 to 29, 2016. I express waive any and all claims against the Troop
Leader concerned and the school on any accident that will happen on the said
activity beyond human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter JULLIANE NICOLE V. ILDEFONSO to

participate in the 31st Regional Encampment at Central Luzon Regional Program
and Training Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on
February 25 to 29, 2016. I express waive any and all claims against the Troop
Leader concerned and the school on any accident that will happen on the said
activity beyond human control.
 Further, I understand that my daughter is in good health condition to
attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter AMBER V. SABINIANO to participate in the

31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
 Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter KAEZHIREAH B. LOZANES to participate in the

31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number
 Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter JOANNA MARIE B. PUGANAN to participate in

the 31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number
 Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter CATHERINE R. FALOGME to participate in the

31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac
 I hereby permit my daughter ANDREA SOPHIA S. ANDRES to participate in
the 31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter ASHLEY T. JAVATE to participate in the 31st

Regional Encampment at Central Luzon Regional Program and Training Center ,
Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to 29,
2016. I express waive any and all claims against the Troop Leader concerned and
the school on any accident that will happen on the said activity beyond human
control.
 Further, I understand that my daughter is in good health condition to
attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter GAEMIE A. DELA CRUZ to participate in the

31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.
_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number

Department of Education
Region III – Central Luzon
Schools Division of Tarlac Province
Camiling Central District
CAMILING NORTH ELEMENTARY SCHOOL
Camiling, Tarlac

I hereby permit my daughter GRACE ANN P. DANCEL to participate in the

31st Regional Encampment at Central Luzon Regional Program and Training
Center , Brgy. Old Anupul, Mc Arthur Highway Bamban, Tarlac on February 25 to
29, 2016. I express waive any and all claims against the Troop Leader concerned
and the school on any accident that will happen on the said activity beyond
human control.

Further, I understand that my daughter is in good health condition to

attend/participate in the said activity.

_____________________________________ ________________________
Parent’s Signature Over Printed Name Parent’s Contact Number