De La Salle
Santiago Zobel School
zl Alsbeng Vig, Musa Cty
PARENTAL CONSENT FORM
Raise the level of awareness of Filipinos on hunger issues,
Develop a deep concern for others especialy the poor,
‘Advocate for a more direct response to hunger through government and
ther private organizations,
Respond by patticipating in actual feeding program.
Objectives of the Activity
Goodbye Gutom
Nature of Activity
Southwile 3, Brgy. Poblacion, Muntinlupa City
Place(s) of Activity/ies
| July 29, 2017
Inclusive Date/s of Activity
Assembly Time: <= Assembly Venue: Gate 2, DLSZ
Time of Departure: 06:45 aM Expected Time of Arrival (DLSZ): 11008
Group’s involved: [ Grade 8 High Schoo! Students & other Student Volunteers
Person-in-Charge of the Activity Kerla Aquino; Faith Dimakiling & Shirley Cruz
‘Adult Leaders and contact numbers: (Please affix signature/s beside name/s)
Fath Dimakiing 05167525181 fing Shier Graz osieseeist jereadeg Cp
School Bus
Transportation:
{Ihave read the details ofthe activity and I hereby permit my son/daughter
(Grade/Vear & See) to join
We are aware of the benefits that our son/daughter will derive from his/her participation in this activity and the
diligence to be exercised by the teachers/leaders thereof to ensure his/her safety during the activity. We are also
expected fo make sure that our child comes on time for the assembly and departure and be fetched upon arrival.
SIGNATURE OF PARENT/GUARDIAN (as it appears in the school records/documents):
[
PRINTED NAME OF PARENT/GUARDIAN
RELATIONSHIP TO STUDENT
ADDRESS
CONTACT NUMBERS: Landline (Home):
(Office)
Mobile number:
SIGNATURE VERIFIED BY DATE VERIFIED:
DESIGNATION :