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Parental Consent and Waiver

This document is a parental waiver and consent form for a student of Cabatuan National High School to participate in an unspecified school activity. It releases the Department of Education from any liability if the student is injured during the activity. The parent acknowledges the risks but believes the activity will benefit their child. They provide a contact number and sign to indicate their voluntary consent and assumption of all risks for their child's participation.

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145 views1 page

Parental Consent and Waiver

This document is a parental waiver and consent form for a student of Cabatuan National High School to participate in an unspecified school activity. It releases the Department of Education from any liability if the student is injured during the activity. The parent acknowledges the risks but believes the activity will benefit their child. They provide a contact number and sign to indicate their voluntary consent and assumption of all risks for their child's participation.

Uploaded by

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

Department of Education

PARENTAL WAIVER AND CONSENT

I, the undersigned, as the parent of ____________________________________ a student of


_Cabatuan National High School___, do hereby give my full consent and approval for my child to
participate in:

Title of Activity: ________________________________________


Date of Activity: ________________________________________
Time of Activity: ________________________________________
Venue/Address of Activity: ________________________________

In consideration of the consent given for the participation in the above-mentioned activity, I, or
my child’s authorized guardian, together with my child, do hereby release and waive the Department of
Education, its officers, faculty, staff, and representatives, from any and all claims should any damage
be caused, or liability be incurred to property or person arising from, but not limited to, participation in
the said activity.

I expect and know that the school will exercise the diligence required for the safety and well-
being of my child and that his/her participation in the activity will be beneficial to him/her. However,
participation in the activity carries with it certain risks that cannot be eliminated regardless of the care
taken to avoid injuries. I know and understand these and other risks that are inherent to the stated activity
and I hereby assert that my child’s participation, as well as my consent to it, is voluntary and that I
knowingly assume all such risks. However, should anything happen that harms my child, I expect to be
notified immediately through my contact number ___________________.

I acknowledge that I am signing this freely and voluntarily and intend this by my signature to
be a complete and unconditional release of all liability to the greatest extent allowed by law.

_________________________________________
Signature above printed name of Parent/Guardian

________________________
Date

Address: Jacinto St., Del Pilar, Cabatuan Isabela


E-mail Address: cabatuannhs300504@gmail.com

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