OFFICE OF ADMISSIONS AND SCHOLARSHIP

ADMINISTRATION

(Date) _____________________

PARENTS OR GUARDIANS CONSENT FORM

TO WHOM IT MAY CONCERN:
I, the parent/guardian of _________________________________ allow
him/her
to
join
the
(name
of
activity)
__________________________________________ on (date & time)
_______________________________ at (venue) ____________
________________________ as part of the conditions of his/her
Scholarship.
I am conscious of the benefits and risks involved in this activity.
Having obtained permission, my son/daughter has the
responsibility of safeguarding himself/herself for the entire
duration of the activity. I also understand that the University of
San Carlos and the Scholarship Sponsor will not be accountable
for any untoward incident that may happen to him/her.
__________________________________________
(Signature above printed Name of Parent/Guardian)