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sandugo waiver

Elvira M. Atienza grants permission for her child, Riza Mae M. Atienza, to participate in the Sandugo Dance Training on January 25-26, 2025, at Batangas State University. The consent form outlines the responsibilities of both the parent and the student regarding safety, adherence to rules, and liability for any damages or injuries. The document is signed by both the parent and the student, along with the name of the faculty-in-charge, Mr. Randy Manimtim.

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10 views

sandugo waiver

Elvira M. Atienza grants permission for her child, Riza Mae M. Atienza, to participate in the Sandugo Dance Training on January 25-26, 2025, at Batangas State University. The consent form outlines the responsibilities of both the parent and the student regarding safety, adherence to rules, and liability for any damages or injuries. The document is signed by both the parent and the student, along with the name of the faculty-in-charge, Mr. Randy Manimtim.

Uploaded by

jaiaungon
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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Tab 1

Reference No.: BatStateU-FO-SOA-03 Effectivity Date: May 18, 2022 Revision No.: 01

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

Date: January 23, 2025

TO ALL CONCERNED:
I, Elvira M. Atienza grant permission for my child/ward Riza Mae M. Atienza, a 4th year student of BS
Business Administration of the College of Accountancy Business and Economics of this University, to
join the Sandugo Dance Training With a brief description, to wit:

Name of the Activity Sandugo Dance Training/Practice


Date of the Activity/ Academic Year/ Semester January 25-26, 2025
Date and Estimated Time of Arrival/Departure a. 8:00 AM
a. Arrival b. 5:00 PM
b. Return
Mode of Transportation
Board and Lodging, if any
Place(s) to visit/Location of the Event Batangas State University The NEU Lipa

Further, as the Parent/Legal guardian, I am full 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 attribute 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.

ELVIRA M. ATIENZA
Parent’s/Guardian’s signature over printed name

Contact Number: 09917531638


Address : Brgy. Upa, Mataasnakahoy, Batangas
Conforme:

RIZA MAE M. ATIENZA


(Student’s signature over printed name)

Name of Faculty-in-Charge: Mr. Randy Manimtim

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