sample waiver

1. PARENT/GUARDIAN PERMIT/CONSENT
PARENT/GUARDIAN PERMIT/CONSENT
OSAS-SDS Form 3
STUDENT INFORMATION
_________________________ _________________________ _____ _____
Last Name First Name M.I Sex Date of Birth
__________________________________________________________________
Mailing Address Student
Number
Contact Number: _______________________ Academic
Name of Organization: UTOPIA- SOCIETY OF BA POLITICAL SCIENCE STUDENT’S Non-Academic
Name of Adviser/s in charge: MS. GISELLE MAE GARCIA MS. RIA ANNE ROZUL Performing Arts Group
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This is to certify that I have full knowledge of and permission for my son/daughter/foster child to join and participate in:
Title of Activity: __MAKING IT: RISING ABOVE OBSTACLES PSYCHOLOGY MAJOR GENERAL ASSEMBLY AND SEMINAR___
Date & Time of the Activity: ____FEBRUARY 8, 2019 / 7:00 AM –4:00 PM_______________________________________________
Place of Activity: _____________UNIVERSITY GYMNASIUM, CAVITE STATE UNIVERSITY________________________________
I concur and agree on the rules, policies & regulations being implemented by the concerned organizers.
___________________________________ _____________________________
Name & Signature of Parent/Guardian Contact Number
Subscribed & sworn to me this _______day of _______________ 2019 at __________________________________
OSAS-SDS Form 3
STUDENT INFORMATION
_________________________ _________________________ _____ _____
Last Name First Name M.I Sex Date of Birth
__________________________________________________________________
Mailing Address Student
Number
Contact Number: _______________________ Academic
Name of Organization: PSYCHOLOGY CIRCLE ____________________________________ Non-Academic
Name of Adviser/s in charge: MS. GISELLE MAE GARCIA MS. RIA ANNE ROZUL Performing Arts Group
------------------------------------------------------------------------------------------------------------------------------------------
This is to certify that I have full knowledge of and permission for my son/daughter/foster child to join and participate in:
Title of Activity: MAKING IT: RISING ABOVE OBSTACLES PSYCHOLOGY MAJOR GENERAL ASSEMBLY AND SEMINAR___
Date & Time of the Activity: ____FEBRUARY 8, 2019 / 7:00 AM – 4:00 PM______________________________________________
Place of Activity: _____________UNIVERSITY GYMNASIUM, CAVITE STATE UNIVERSITY________________________________
I concur and agree on the rules, policies & regulations being implemented by the concerned organizers.
___________________________________ _____________________________
Name & Signature of Parent/Guardian Contact Number
Subscribed & sworn to me this _______day of _______________ 2019 at __________________________________
Republic of the Philippines
CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite
Republic of the Philippines
CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite