I fully allow my son/daughter ____________________________________to attend and participate in
the 17th NFJPIA National Mid-year Convention on October 25-28, 2014 at DAKAK Beach Park and Resort in Dapitan City.
I agree to waive release, indemnify and hold harmless the NFJPIA, its officers, advisers, members, and all the organizers of this event from any all claims of liability arising out of my child s participation in this activity I also agree to waive that NFJPIA, its officers, advisers, members and all organizers of this event has responsibility to my child only within the premises of the venue.
Should my child require medical attention as result of accident or serious illness, I do hereby grant and bestow upon the organizers of this event permission and authority for and on my behalf to authorize any licensed medical practitioner to render medical aid and treatment.
Ailment(s) of your child: ___________________________________ Medication might need: ___________________________________
___________________________________ Name of Guardian
___________________________________ Contact number
Non presentment of this waiver during the registration proper shall be charged P100.00