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Republic of the Philippines

Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter DAVID JONES V ADES in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

MARCELINO G. ADES (+) DELA PAS V. ADES


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ARLENE M. DALUZ NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JESSA S. ALMAREZ in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

ISIDRO A. ALMAREZ SUSANA S. ALMAREZ


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter HENRY JR. G. BANGALISAN in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

HENRY B. BANGALISAN ALICIA G. BANGALISAN


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter PHILIP E. BANILA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

LEODIGARIO L. BANILA FE E. BANILA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter NOLIMAR D. BEDONIA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

NICOLAS B.BEDONIA (+) MAY D. BEDONIA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter EMERLYN D. CAMPANA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

EMMANUEL A. CAMPANA MERCEDES D. CAMPANA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JOHN EDUARD F. CANDOR in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

EDUARDO B. CANDOR MARITES F. CANDOR


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JAYMAR B. MAGTIBAY NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JAYVEE D. CENON in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

JESSIE W. CENON GLORIA M. CENON


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JOHMAR G. DE CHAVEZ in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

ANDRES P. DE CHAVEZ LUZ G. DE CHAVEZ


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter AIVY ROSE M. DE TORRES in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

VALERIANO M. DE TORRES ROSENE M. DE TORRES


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ARLENE M. DALUZ NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ALLAN P. ENDAYA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

APOLINARIO S. ENDAYA MARITES P. ENDAYA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

MARIFE A. OSTRIA NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ANGELINE P. ENDAYA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

APOLINARIO S. ENDAYA MARITES P. ENDAYA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JOYCE M. MONTON NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ROMNICK J. FABELLA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

ROBERT FABELLA LIGAYA J. FABELLA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

MARIFE A. OSTRIA NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JENCELL A GAID in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

MAXIMO M. GAID (+) MARIA A. GAID


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ARLENE M. DALUZ NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JILLIAN A. GAID in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

MAXIMO M. GAID (+) MARIA A. GAID


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

LENNY I. SEŇO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter MERIAM Z. GAID in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

ISAAC G. GAID EDNA Z. GAID


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

LENNY I. SEŇO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ALFIE F. GALLOS in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

LEONARDO M. GALLOS ANELYN F. GALLOS


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

GENELYN V. DADO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter RINA S. GARCIA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

FERNANDO T. GARCIA NORBERTA S. GARCIA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JOHN JARED G. ILAO in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

ARNEL B. ILAO DOREEN G. ILAO


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ROBERT R. MAGADIA in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

RICKY A. MAGADIA ELIZABETH R. MAGADIA


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter AITHOR R. MAMENG in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

REDENTOR A. MAMENG AILYN R. MAMENG


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

KAREN RACHELLE M. AGUILAN NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

October 30, 2018


Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JONA G. MAMENG in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

JOREM B. MAMENG ROSELIE G. MAMENG


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter ROMAR B. MARASIGAN in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

MARLON M. MARASIGAN ROSEVELT B. MARASIGAN


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter GARY R. PAGSINOHIN in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

GAUDENCIO D. PAGSINOHIN MARIBEL R. PAGSINOHIN


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

IMELDA V. SEÑO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JOMAR P. PEREZ in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

TEODORO A. PEREZ EDITHA P. PEREZ


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ARLENE M. DALUZ NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JUNMARK D. PEREZ in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

DAMIAN A. PEREZ JOCELYN D. PEREZ


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

PENNY LEN P. INOCENCIO NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter MARIA FE L. PEREZ in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

NESTOR D. PEREZ ASELA L. PEREZ


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

MARYNERRIE D. BAGOS NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter NEŇO C ROMERO in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

FELIX J. ROMERO EMMA C. ROMERO


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

ARLENE M. DALUZ NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter MARICEL R. SAGER in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

VICTOR I. SAGER MARILOU R. SAGER


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

JAYMAR B. MAGTIBAY NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main
Republic of the Philippines
Department of Education
MIMAROPA
(Region)

ORIENTAL MINDORO
(Division)

FORMON NATIONAL HIGH SCHOOL


(School)

Formon, Bongabong, Oriental Mindoro


(School Address)

P A R E N TA L C O N S E N T

Date: October 30, 2018

I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter JOHN DAVE O. SIGNO in the
Division, Regional Meet and Palarong Pambansa.

I have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precautio n 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

DAVIES I. SIGNO MELANIE O. SIGNO


Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by :

MARIFE A. OSTRIA NONATO M. SARMIENTO


Teacher-Adviser School Head/Registrar

Remarks:
FOR PALARONG PAMBANSA ONLY
back to main

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