No.:_______ No.
:_______
Parental Consent Form
Parental Consent Form
PHILIPPINE SOCIETY OF MECHANICAL ENGINEERS
PHILIPPINE SOCIETY OF MECHANICAL ENGINEERS Name of Student Organization: BULACAN STATE UNIVERSITY – STUDENT CHAPTER (PSME BULSU-SC)
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BULACAN STATE UNIVERSITY – STUDENT CHAPTER (PSME BULSU-SC)
Name of Student Organization: _____________________________________________
67th PSME National Convention (NATCON)
Name of Activity: _________________________________________________________
67th PSME National Convention (NATCON)
Name of Activity: _________________________________________________________
Nature of Activity: Co-Curricular Extra-Curricular
Nature of Activity: Co-Curricular Extra-Curricular
Venue: __________________________ OCTOBER 16, 2019
SMX Convention Center, Pasay City Inclusive Dates: _________________________
Venue: _________________________Inclusive
SMX Convention Center, Pasay City OCTOBER 16, 2019
Dates: _________________________
I allow my son/daughter to attend the activity.
I allow my son/daughter to attend the activity.
I trust that the organizers of this activity will take due diligence to ensure the safety of
I trust that the organizers of this activity will take due diligence to ensure the safety of
my son/daughter as a participant.
my son/daughter as a participant.
I do not allow my son/daughter to attend the activity.
I do not allow my son/daughter to attend the activity.
Name of Student: ________________________________________________________
Name of Student: ________________________________________________________
Name of Parent/Guardian: _________________________________________________ Name of Parent/Guardian: _________________________________________________
Phone/Cell phone number: _________________________________________________ Phone/Cell phone number: _________________________________________________
Address: _______________________________________________________________ Address: _______________________________________________________________
Signature: Signature:
BulSU-OP-OSO-02F5 Page 1 of 1 BulSU-OP-OSO-02F5 Page 1 of 1
Revision: 1
Revision: 1