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CABEIHM Days Waiver Consent Form

This document is a parent/guardian consent form for a student to participate in the CABEIHM Days 2024 event at Batangas State University from April 20-21 and 27-28, 2024. The form provides details of the event, acknowledges the responsibilities of supervising faculty, and has the parent/guardian agree to terms regarding their child/ward's participation, behavior, and accountability for any liabilities from intentional or negligent acts. By signing, the parent/guardian understands and accepts the conditions for their child/ward to join the multi-day on-campus event celebrating CABEIHM's 25th anniversary milestones.

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0% found this document useful (0 votes)
44 views

CABEIHM Days Waiver Consent Form

This document is a parent/guardian consent form for a student to participate in the CABEIHM Days 2024 event at Batangas State University from April 20-21 and 27-28, 2024. The form provides details of the event, acknowledges the responsibilities of supervising faculty, and has the parent/guardian agree to terms regarding their child/ward's participation, behavior, and accountability for any liabilities from intentional or negligent acts. By signing, the parent/guardian understands and accepts the conditions for their child/ward to join the multi-day on-campus event celebrating CABEIHM's 25th anniversary milestones.

Uploaded by

RHEA EBORA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Reference No.: BatStateU-FO-SOA-03 Effectivity Date: May 18, 2022 Revision No.

: 01

PARENT’S / GUARDIAN’S CONSENT FORM (WAIVER)


_______________
Date

TO ALL CONCERNED:

I, __________________________________ grant permission for my child/ward____________________


____________________, a __________________________student of _______________________of the
CABEIHM-PB of this University, to join the CABEIHM Days 2024, entitled “CABEIHM’Te
Singko: Two and a Half Decades of CABEIHM Milestone"

With a brief description, to wit:

Name of the Activity “CABEIHM’Te Singko: Two and a Half


Decades of CABEIHM Milestone"
Date of the Activity/ Academic Year/ Semester April 20-21 & 27-28, 2024
Estimated Time of Arrival/Departure
a. Arrival 7:00 a.m.
b. Return 9:00 p.m.
Mode of Transportation N/A
Board and Lodging, if any N/A
Place(s) to visit/Location of the Event Batangas State University The NEU - Pablo
Borbon

Further, as the Parent/Legal guardian, I am fully aware that it is the primary responsibility of the Faculty-
in-Charge and of the University to supervise the students, I am also aware that the said persons should
demonstrate an acceptable standard of care and diligence. Furthermore, I consider their significant
responsibility for the safety and risk management when planning, preparing and supervising the activity.
However, I also recognize that there may be risks attributed to the activity which can only be avoided
through my son’s/daughter’s/ward’s extra diligence and due care, which I fully explained to my
son/daughter/ward.

By signing this document, it is understood that my child/ward:

a) Has been properly oriented with all the rules and regulations of the activity attached in this document
and that there may be additional rules and instructions that may be given from time to time. It is further
understood that he/she must comply with the aforesaid rules, regulations and instructions; otherwise,
he/she shall be excluded from further participation.
b) Shall exercise extra care and due diligence in participating in the activity; its consequences are fully
understood by him/her.

If in case that he/she is on the age of majority, he/she shall be made answerable for any and all liabilities
for damages to property or injury to himself/herself, to the University or its representatives and/or to third
persons which may be occasioned by his/her intentional or negligent act while in the course of the
implementation of the program.

If in case that he/she is a minor, I, as the parent/legal guardian will take full accountability on any and all
liabilities occasioned by his/her intentional or negligent act while in the course of the implementation of
the program.

___________________________________________
Parent’s/Guardian’s signature over printed name

Contact Number:__________________________
Address:__________________________
Conforme:

__________________________________
(Student’s signature over printed name)
Name of Faculty-in-Charge: ___________________________

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