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BARANDA - Consent Form

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37 views2 pages

BARANDA - Consent Form

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CEBU DOCTORS’ UNIVERSITY

COLLEGE OF REHABILITATIVE SCIENCES


EXECUTIVE COMMITTEE STUDENT COUNCIL
1 DR. P.V. LARRAZABAL JR. AVENUE, NORTH
RECLAMATION, MANDAUE CITY, CEBU, PHILIPPINES
Email: crssc.cdu2324@gmail.com
Website: www.cebudoctorsuniversity.edu

August 7, 2024

Dear Parents/Guardians,

Subject: Permission to Attend Outreach Program 2024 “On A Magic RS Ride”

We are delighted to invite your son/daughter to the College of Rehabilitative Sciences Outreach
Program 2024, with the theme: “On A Magic RS Ride.” This event is organized by the College
of Rehabilitative Sciences Student Council (CRSSC) and is funded by the donations from the
People’s Choice Award for Mr. & Ms. Rehabilitative Sciences 2024.

This activity aims to bring a day of joy and celebration to the children of the Missionaries of the
Poor Little Lamb Center, Sawang Calero. The event will also provide an opportunity for the
College of Rehabilitative Sciences student council officers to develop their leadership and
organizational skills. The details of the event are as follows:

Venue: Missionaries of the Poor - Little Lamb Center, J.M. Basa Extension, Sawang
Calero, Cebu City
Date: August 17, 2024, Saturday
Time: 10:00 AM - 12:00 NN
Transportation: CDU Bus (Call time of 8:00 AM at CDU Grounds)

Program Flow:
I. Invocation
II. Opening Remarks
III. Introduction of Beneficiaries & Giving Gifts
IV. Special Performance from Mr & Ms RS 2024
V. Photo Opportunity
VI. Lunch (of staff & children)
VII. END

We appreciate your support and cooperation in providing your son/daughter with this invaluable
opportunity and we look forward to your positive response.

Respectfully,

MARIA KATRINA F. PASCUAL


President, Executive Committee
College of Rehabilitative Sciences - Student Council (CRSSC)
CONSENT FORM

JESSA MAY BOOC


I, __________________ parent/guardian of __________________,
KIRSTEN BARANDA hereby grant my permission
for my child to participate in the Outreach Program 2024 "On A Magic RS Ride" organized by
the College of Rehabilitative Sciences - Student Council. I understand that the event will be held
at the Missionaries of the Poor - Little Lamb Center, J.M. Basa Extension, Sawang Calero, Cebu
City on August 17, 2024 (Saturday) from 10:00 AM to 12:00 NN.

I also acknowledge that my child will be transported to and from the event by the CDU bus
provided by the organizers. I understand that the organizers will take all necessary precautions
to ensure the safety of my child during the event and transportation.

I hereby release and waive the College of Rehabilitative Sciences - Student Council, Cebu
Doctors' University, and its representatives from any and all claims, damages, or liabilities
arising from my child's participation in the event.

KIRSTEN NICOLE BARANDA


Name of student: ______________________________ BS SLP 2
Dept & Year: __________________

___________________________ JESSA MAY BOOC


____________________________
Signature of Student Name & Signature of Parent/Guardian

0956 255 6720


FOR EMERGENCY: CONTACT NUMBER OF PARENT/GUARDIAN: ___________________

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