WAIVER
Permission, Waiver, Release, and Indemnity Agreement
In consideration of my child/ward named
being permitted to participate in the Mirabilia: The 15th Brother
President’s Cup the undersigned, parent(s) or legal guardian(s) of the
attendee, hereby agree(s) to the following terms and conditions set forth
below:
1. Participation: Permission is granted for my child/ward to participate in
the meeting with the understanding that he/she is not mandated to
attend this activity. I understand and acknowledge that certain risks are
inherent in this excursion, and I assume liability and responsibility for
any risks associated with participating in the activity.
2. Expectations: I understand and acknowledge that my child/ward is
expected to abide by all the regulations during the activity. I agree to
direct my child/ward to cooperate for the whole duration of the activity.
3. Hold Harmless: I acknowledge that, as a condition of my child/ward’s
participation in this activity, I hold harmless and waive any claims
against the Junior Philippine Institute of Accountants — De La Salle Lipa
Chapter, its officers, including, but not limited to, claims arising out of
any ordinary negligence of any officer or any loss or damage to
personal property occurring because my child/ward participated in this
activity.
4. Release from Third-Party Liability: I understand that the Junior
Philippine Institute of Accountants — De La Salle Lipa Chapter is not an
agent of, and has no responsibility for, any third party, including without
limitation any sponsor or program that may provide any services,
equipment, training or activities associated with the activity mentioned
above.
5. Indemnification: As a condition of my child/ward’s participation in this
meeting, I indemnify Junior Philippine Institute of Accountants — De La
Salle Lipa Chapter for all claims resulting from my child/ward’s
participation in the activity, including but not limited to any injury,
accident, illness, death, or any loss or damage to personal property.
6. Medical Care: I consent to any of the Executive Officers and
representatives of Junior Philippine Institute of Accountants — De La
Salle Lipa Chapter administering such emergency medical care to my
child/ward as such person deems appropriate in the circumstances
and hereby authorize medical treatment in case of emergency.
7. Medical Insurance: I understand and acknowledge that Junior
Philippine Institute of Accountants — De La Salle Lipa Chapter does not
carry or maintain health, medical, or disability insurance coverage for
my child/ward and therefore agrees to assume the responsibility for
such coverage.
8. Medical Conditions: I agree to provide to Junior Philippine Institute of
Accountants — De La Salle Lipa Chapter current information concerning
any medical or physical conditions, including, but not limited to,
allergies, asthma, and medications, of my child/ward and names and
phone numbers for emergency contact.
9. Severability: If any provision of this agreement is held invalid or
unenforceable, the remainder of this agreement shall nevertheless
remain in full force and in effect.
10. Voluntary Agreement: The child/ward and the parent(s)/guardian(s)
acknowledge that they have read the “Permission, Waiver, Release and
Indemnity Agreement” and are aware of the legal consequences of
signing. My signature below indicates that I have read and freely signed
this agreement. I further certify that I am legally competent to sign this
agreement.
IMPORTANT – READ THE ENTIRE PERMISSION, WAIVER, RELEASE,
AND INDEMNITY AGREEMENT BEFORE SIGNING
Name of Attendee:
(Printed Name)
Attendee’s Signature:
(Signature) (Date)
Name of Guardian:
(Printed Name)
Guardian’s Signature:
(Signature) (Date)
Guardian’s Contact Number:
