ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter MARIA ANNALIZA M. VACARO to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter FAITH ANGELEE P. NICOLAS to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter EUFYLL REE L. MARCELO to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________ Parent’s/Guardian’s Signature
over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter LADY ARYANNA JELYN A. VESTIDAS to attend the YOUTH CITY
2023 on December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas
City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter JAY ANN FLAGNE to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter ANGELICA LOPEZ to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter SHYNA KAY OCATE to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter JACIE SHAN OCATE to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter QUINNER QUINCH V. LOPEZ to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter GABRIELA DANGAN to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter KREIASHA MARI POLENDEY to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
________________________________________________
_ Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter TONI VELLE LLANTINO to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter ERNEST JYD LLAUDERES to attend the YOUTH CITY 2023 on
December 29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz,
5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter JENNIFER VELADO to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter JHONEA RHEAN VIGO to attend the YOUTH CITY 2023 on December
29 (Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
ARCHDIOCESAN YOUTH CITY 2023
I hereby permit my son/daughter ZAIRA ELURANGGO to attend the YOUTH CITY 2023 on December 29
(Friday) – 30 (Saturday), 2023, at Capiz Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800
I hereby free all organizers from any liability whatsoever for any accident or injury which may fall on me
during the said activity due to negligence.
This permission is given voluntarily and of my free will on this 28th day of December 2023, at
______________________________________.
_________________________________________________
Parent’s/Guardian’s Signature over Printed Name
