REPUBLIC
REPUBLIC   OFOF
                            THE
                              THEPHILIPPINES
                                   PHILIPPINES
            DEPARTMENT
              DEPARTMENT     OFOF
                                EDUCATION
                                  EDUCATION
            Region
              Region
                   I I
            Division
              Division
                     of of
                        LaLa
                           Union
                             Union
            NAGUILIAN
             NAGUILIANSENIOR
                       SENIORHIGH
                              HIGH
            SCHOOL
             SCHOOL
            P. P.
               Florendo
                  Florendo
                         St.,St.,
                              Brgy.
                                  Brgy.
                                     Ortiz,
                                        Ortiz,
                                            Naguilian,
                                               Naguilian,
                                                       LaLa
                                                          Union
                                                            Union
            School
               School
                    ID:ID:
                        340823
                           340823
            Email:
               Email:
                    naguilianSHS@gmail.com
                      naguilianSHS@gmail.com
                                                                        0
                                                                       WAIVER
CERTIFICATION OF PARENTS CONSENT AND NAGUILIAN SENIOR HIGH SCHOOL LIABILITY FOR
THE JDVP TRAINING PROGRAM HELD AT LA UNION SCIENCE AND TECHNOLOGY CATBANGEN
CITY of SAN FERNANDO LA UNION.
Name of the Student: __________________________________ Grade/Section: _______________
Date of Activity: October 21- December 16, 2019
Teacher(s) Concern: Mrs. Brenda Bandarana G. Nucasa
Principal: Mrs. Zoila A. Martinez
Subject: JDVP TRAINING (Cookery NC II)
                                                                    CERTIFICATION
      I, ______________________________________ of ____________________________ student of
NAGUILIAN SENIOR HIGH SCHOOL having been accepted to join the JDVP TRAINING PROGRAM
under LA UNION SCIENCE AND TECHNOLOGY CATBANGEN CITY of SAN FERNANDO LA UNION
program to be scheduled on OCTOBER 21, 2019 at CATBANGEN LA UNION, La Union; and
       We________________________________of_______________________parents/guardians             of
_________________________, after giving our consent and permission to him/her to join the JDVP
Training Program mentioned above do hereby resolve and free the NAGUILIAN SENIOR HIGH
SCHOOL from whatsoever liability, damage or claim of whatever nature and kind that may arise by
reason of said activity, accidental or otherwise by reason of unforeseen circumstances or through
force majeure, and not the result of negligence, omission or commission by any faculty member,
personnel, employee of the SCHOOL.
      Done at ____________________________, this ______ day of ___________________.
        _____________________________                                           ____________________            (Student’s
         (Parents/Guardians Signature                                                           Signature
              over Printed Name)                                                           over Printed Name)