PARENTAL WAIVER AND CONSENT FORM
As the parent or legal guardian of the child named below, I hereby give my full consent and
approval for my child to participate as a team member in the sport designated below.
I understand that there are certain risks of injury inherent in the practice and play of this sport, as
well as in traveling and other related activities incidental to my child’s participation, and I am
willing to assume these risks on behalf of my child. I hereby certify that my child is fully
capable of participating in the designated sport and that my child is healthy and has no physical
or mental disabilities or conditions that would restrict full participation in these activities, except
as listed below.
In addition to giving my full consent for my child’s participation, I do hereby waive, release and
hold harmless the Office of the Sangguniang Kabataan Provincial Federation, its staff, the
coaches, officiating officers, and representatives for any injury that may be suffered by my child
in the normal course of participation in the designated sport and the activities incidental thereto,
whether the result of negligence or any other cause.
Name of Child:
Date of Birth:
Address (St., Purok, Barangay, Municipality):
List of any physical limitations:
Parent’s/Guardian’s Signature over Printed Name:
Date:
Designated Sport: Volleyball
Event: Sinag Kabataan Volleyball League
2024, Provincial Tournament
