Affordable Private Education Center, Inc.

APEC Schools, C.Raymundo

<Contact Number>

PARENT’S/GUARDIAN’S CONSENT

To whom it may concern:

As the parent/guardian of _________________________________________, Grade ________

Section ___________ with Student No. ____________________, after having been properly informed
and briefed by the School of the purposes and objectives of the activity, I hereby give my consent for my
child/ward to join and participate in:

Title of Activity:​ MILESTONE: ADMINISTRATION OF SURVEY

Purpose:​ Administer the survey to the determined sample size to gather data
Date : _________________________________ ​Time:
_________________________
Place :
__________________________________________________________________________
Learning Facilitator-in-Charge :
_____________________________________________________

As official school activity off-campus, I understand that my child is still required to observe the
school rules and policies on discipline and right conduct, and strictly obey the reasonable instructions of
the teachers and learning facilitators during the conduct of the activity. As a parent/guardian, I will prepare
my child to ensure that he/she obeys the teachers and listen carefully to instructions and precautions
given. Thus, I will be responsible for any injury or damage that may be caused by my child to any third
party in violation of said school policies and instructions. I shall hold the school liable only to the extent
that is reasonable under the circumstances for the safety of my child. I will hold no claim against the
School for any injury or damages that may be suffered or sustained by my child due to his/her own fault or
in violation of school policies or instructions. I also hold the School free from any liability for any injury or
damage due to unforeseen or fortuitous events, or any accident and untoward incident beyond control of
the School despite due diligence.

In line with this, I am aware that attendance to the said activity is compulsory as part of the
curriculum, and thus, no separate fee is required.

Thank you very much!

Yours truly,
_____________________/________________
Name of Parent/ Guardian / Contact Number
(Signature-Over-Printed Name)
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In cases that the student will not be allowed to participate, please specify the reason below:

________________________________________________________________________________