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Waiver

The document is a parent/guardian permit form for a Grade 12 student at Leyte National High School Senior High School in Tacloban City, Philippines to participate in an 80-hour Work Immersion Program. It specifies the student's name, strand, section and the work immersion venue. It also states that the school and work immersion partner are not liable for any injuries during the program and the parent voluntarily signs the permit to allow their child to participate.

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Rain Sofia Loquinte
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133 views1 page

Waiver

The document is a parent/guardian permit form for a Grade 12 student at Leyte National High School Senior High School in Tacloban City, Philippines to participate in an 80-hour Work Immersion Program. It specifies the student's name, strand, section and the work immersion venue. It also states that the school and work immersion partner are not liable for any injuries during the program and the parent voluntarily signs the permit to allow their child to participate.

Uploaded by

Rain Sofia Loquinte
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region VIII
Schools Division of Tacloban City
LEYTE NATIONAL HIGH SCHOOL
SENIOR HIGH SCHOOL
Tacloban City

PARENT/GUARDIAN PERMIT/WAIVER FORM

Date: _____________

TO WHOM THIS MAY CONCERN:

The undersigned parent/guardian of ______________________________________),


a
(Name of Student)
Grade 12 Senior High School Student (Strand: ____________ Section: _______________)
permits/authorizes her/him to undergo Work Immersion Program at
__________________________________________________________________________
(Work Immersion Venue)
for a period of (80) hours (Date Covered: __________________________________) for 2nd
Semester, School Year 2022-2023.

The undersigned further understands that Leyte National High School – Senior High
School and the Work Immersion Partner Institution are not liable for any unavoidable
circumstances that may arise, such as any injury sustained or contracted in the course of the
Work Immersion Program. Hence, this Permit is issued voluntarily, without force, coercion
and intimidation but to support the above-mentioned purpose.

_________________________________
(PRINTED NAME OVER SIGNATURE)
Parent/Guardian

ADDRESS: _________________________________________
CONTACT NUMBER: ________________________________

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