Divine Word College of Calapan

Calapan City

PARENTS CONSENT / WAIVER

I am allowing my son/daughter join and participate in: Sponsoring Unit Title of Activity
Date of Activity

, with ID number ___________________________________ ___________________________________

___________________________________

___ to

: :
:

Venue and Address of Activity: ___________________________________ Coordinator : ___________________________________

Together with my child, I know that the organization and its officers, faculty, and staff are expected to exercise the legal diligence required for the safety and well being of my child for the duration and the place and date of the activity as stated. This legal diligence would include oral and written instructions, whether given before or during the activity, that if followed, would ensure the safety of my child. If my child disregards or fails to follow those instructions or should act on his/her own, I, together with my child shall have no claims against the organization, faculty, staff-in-charge should any damage be caused or liability be incurred to property or person.

Signed by: __________ Signature above Printed Name of Parent/Guardian Contact Number: ______________________