Republic of the Philippines

Department of Education
Region V-Bicol
Division of Camarines Norte
TULAY NA LUPA NATIONAL HIGH SCHOOL
Labo
_______________________________________________________________________

School Year 2018-2019

TVL Classes Work Immersion Program

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent the participation of my/our son/daughter
_____________________________________ in the TVL WORK IMMERSION PROGRAM FOR TVL – HE
BPP starting on Monday, November 19, 2018 until she/he is able to complete the 80-hour work
immersion requirement for SHS students.

I/We understand that he/she chose to be assigned at Shakey’s Restaurant in Daet, Camarines
Norte.

I have considered the benefits that my son or 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/daughter 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

________________________________ ________________________________
Name of Father Name of Mother

____________________________________
Signature of Guardian over Printed name

________________________________
Relationship to Student
Verified by:

ELEONOR L. ECO
SSP II