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Waiver For VMP

This document is a waiver and parental consent form for a student participating in the NSTP-CWTS Community Engagement Activity at Pamantasan ng Lungsod ng Maynila. It outlines the responsibilities of the parent or guardian, including the understanding of safety rules and the release of liability for the university. The form also requires emergency contact information and a signature from the parent or guardian.

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32 views2 pages

Waiver For VMP

This document is a waiver and parental consent form for a student participating in the NSTP-CWTS Community Engagement Activity at Pamantasan ng Lungsod ng Maynila. It outlines the responsibilities of the parent or guardian, including the understanding of safety rules and the release of liability for the university. The form also requires emergency contact information and a signature from the parent or guardian.

Uploaded by

mendozaaivrian26
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PAMANTASAN NG LUNGSOD NG

MAYNILA
(University of the City of Manila)
General Luna St., cor. Muralla St.
Intramuros, Manila, Philippines
OFFICE OF THE NATIONAL SERVICE TRAINING
PROGRAM
Tel: 8643 - 2563
nstp@plm.edu.ph

WAIVER / PARENTAL CONSENT

NSTP-CWTS Community Engagement Activity (Volunteer Mobilization


Name of Activity
Program)
DSWD – National Operations Resource Center (NROC) Chapel Road –
Venue
Brgy. 195, Pasay City
Date Time
8:00AM – 3:00PM

This is to certify that I allow my son/daughter/ward, ,


<name of student>

a student from ,
<year and degree program> <College>

with Student Number to participate in the


<student number>

NSTP-CWTS Community Engagement Acitvity – Volunteer Mobilization Program.


<title of activity>

I understand that school rules and regulations will be in effect. I have also
ensured that my son/daughter understands that it is important for his/her safety,
and for the safety of the group, that all rules and instructions given by the
coordinator/advisers are obeyed.

In consideration of your agreeing to take my son/daughter on the above


trip/activity, I hereby agree not to hold the Pamantasan Ng Lungsod Ng Maynila
(PLM), including any university employee, liable for any expenses, loss, personal
injury, or accidents to my child, except in cases resulting from the negligent acts
or willful defaults of any university employee.

I also agree not to bring any suit or assert any claim against the
advisers/coordinators/management and the PLM due to any actions taken.

In case of emergency, please contact:

Name of Contact Person :

Relationship to Student :

Contact Number/s :

Signature Over Printed Name / Relationship to Student


Attachments:
Copy of Signatory’s ID with signature

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