Scribd
Upload
22 views1 page

Waiver Tryouts 2024

Slides

Uploaded by

kupalsima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
22 views1 page

Waiver Tryouts 2024

Slides

Uploaded by

kupalsima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

National Teachers College

Basic Education Department


SY 2024-2025
______________________

I _________________________________ parent/legal guardian of _____________________________, of


_________________________ is hereby allowing my child/ward to participate voluntarily in the tryouts
(Grade Level/Section)

for the Palarong Maynila 2025 which is scheduled between the months of January and February 2025. Prior to
these dates, trainings and practices will be scheduled.

As such I will not hold anyone responsible for whatever unforeseen incident happened during the conduct of the
said activity and during the practice/s which is dated October 4, 2024 and onwards.

Moreover, I attest to the veracity of the forecited medical history of my child/ward.

Respectfully yours,

_______________________________
Signature over printed name
_______________________________
Contact Number
Noted by:

Angeles, Amiel S
Adviser, Husay Tanglaw

Seruela, Kevin Chris M.


Adviser, Husay Tanglaw

Angelo Jomarc O. Tactay


Adviser, Husay Tanglaw

MEDICAL HEALTH ENQUIRIES:


1. Have you now or ever had any operation, hospitalization or consultation with treatment by a physician during
the last 5 months for any cause? (Give exact data)
__________________________________________________________________________________________
2. Have you any other physical defects, deformities, illness or allergies now and at the time of the event? (Pls. state
in details)
__________________________________________________________________________________________
3. For female only:
Are you pregnant? Yes
No
4. Please check if you have ever had any of the following diseases:
A. Heart and Blood __
B. Nervous system __
C. Lungs __
D. Gastrointestinal tract __
E. Urinary tract __
F. Bone problem __
________________________
Name
________________________
Grade and Section
________________________
Address
________________________

You might also like