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    Parent'S/Guardian'S Consent: Departmentof Education

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    rosario lanzado
    This document is a parent/guardian consent form for a student named [name redacted] to attend limited in-person classes at Dinas Central Elementary School during the COVID-19 pandemic. The form acknowledges that the school will follow minimum public health standards but cannot guarantee the student won't get infected. It also says the parent understands the risks and agrees to follow the rules. By signing, the parent consents to allow their child to attend, agrees the school is not responsible for anything beyond their control, and waives their right to make claims against the school.

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    © All Rights Reserved
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    Parent'S/Guardian'S Consent: Departmentof Education

    Uploaded by

    rosario lanzado
    121 views1 page
    This document is a parent/guardian consent form for a student named [name redacted] to attend limited in-person classes at Dinas Central Elementary School during the COVID-19 pandemic. The form acknowledges that the school will follow minimum public health standards but cannot guarantee the student won't get infected. It also says the parent understands the risks and agrees to follow the rules. By signing, the parent consents to allow their child to attend, agrees the school is not responsible for anything beyond their control, and waives their right to make claims against the school.

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    Parent-Consent

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    This document is a parent/guardian consent form for a student named [name redacted] to attend limited in-person classes at Dinas Central Elementary School during the COVID-19 pandemic. The form acknowledges that the school will follow minimum public health standards but cannot guarantee the student won't get infected. It also says the parent understands the risks and agrees to follow the rules. By signing, the parent consents to allow their child to attend, agrees the school is not responsible for anything beyond their control, and waives their right to make claims against the school.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    121 views1 page

    Parent'S/Guardian'S Consent: Departmentof Education

    Uploaded by

    rosario lanzado
    This document is a parent/guardian consent form for a student named [name redacted] to attend limited in-person classes at Dinas Central Elementary School during the COVID-19 pandemic. The form acknowledges that the school will follow minimum public health standards but cannot guarantee the student won't get infected. It also says the parent understands the risks and agrees to follow the rules. By signing, the parent consents to allow their child to attend, agrees the school is not responsible for anything beyond their control, and waives their right to make claims against the school.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    DEPARTMENTOF EDUCATION
    Region IX, Zamboanga Peninsula
    Division of Zamboanga del Sur
    Dinas 1 District
    DINAS CENTRAL ELEMENTARY SCHOOL
    School ID 124961

    PARENT’S/GUARDIAN’S CONSENT

    Name of the Learner : ___________________________________


    Date of Birth : ___________________________________
    Parent’s/Guardian’s Name: ___________________________________
    Relationship to Learner: ___________________________________
    Home Address : ___________________________________
    Contact Number : ___________________________________

    As the parent/legal guardian of the abovementioned learner, hereby acknowledge


    that I have been informed of the details of the conduct of the Implementation of the
    Expanded Phase of Limited Face-to-Face Classes. I understand that Dinas Central Elementary
    School shall implement the minimum public health standards set by the government to
    minimize risk of the spread of COVID-19, but it cannot guarantee that my child will not
    become infected with COVID-19 given that it is highly contagious. I freely elect to participate
    in this learning modality. Furthermore, I understand the risk associated and agree the rules
    and regulations established are for the safety and security of the learner, and thus agree to
    instruct my child to obey them.

    Having understood all the aforementioned and acknowledging all of the foregoing, I
    – on behalf of myself, my household members and my child/children - hereby freely and
    voluntarily give my consent to allow my child to attend the limited face-to-face classes. I
    also attest that I had sought the views of my child and he/she has expressed willingness to
    participate the activity. To the extend allowed by law and rules, I hereby agree to waive,
    release, and discharge any and all claims, cause of action, damages and right against the
    school and its personnel relative to the conduct of the activity and that the school may not
    be held responsible for any untoward occurrence that may happen beyond control.

    _______________________________________ Date: ________________


    Signature Over Parent’s/Guardian’s Printed Name

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