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Waiver Team

This document is a waiver form for students participating in a team building activity organized by the Philippine Institute of Chemical Engineers - Junior Chapter Batangas (PIChE-JCB) at Batangas State University from December 20-21, 2014. The waiver form releases the university and establishment from any liability for injuries the student may suffer during the activity. It also makes the student responsible for any damages to property or injuries to third parties that may be caused by the student during the course of the activity. The student and parent/guardian must both sign the waiver form to acknowledge the terms.

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Daniel Malapitan
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0% found this document useful (0 votes)
124 views1 page

Waiver Team

This document is a waiver form for students participating in a team building activity organized by the Philippine Institute of Chemical Engineers - Junior Chapter Batangas (PIChE-JCB) at Batangas State University from December 20-21, 2014. The waiver form releases the university and establishment from any liability for injuries the student may suffer during the activity. It also makes the student responsible for any damages to property or injuries to third parties that may be caused by the student during the course of the activity. The student and parent/guardian must both sign the waiver form to acknowledge the terms.

Uploaded by

Daniel Malapitan
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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BATANGAS STATE UNIVERSIRY

College of Engineering, Architecture and Fine Arts


Gov. Pablo Borbon Campus II, Alangilan, Batangas City, Philippines, 4200
www.batstate-u.edu.ph Telefax: (043) 300-4404 locs. 106-118
Philippine Institute of Chemical Engineers- Junior Chapter Batangas

WAIVER

I, , a bonafide Chemical Engineering Student of


Batangas State University with student number do hereby voluntarily join
the PIChE-JCB Team Building Activity on December 20-21, 2014 under the following
terms and conditions:

1. That I shall renounce and waive any claim against the school/establishment for any
injury or accident that I may suffer; and

2. That I shall be answerable for any liabilities for damages of property or injury to
third person/s which may be caused by me intentionally or inadvertently while in
the course of this activity.

Students Signature over Printed Name


Parents/Guardians Signature over

Printed name & Contact No.

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