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STUDENT’S COPY

CERTIFICATION OF WAIVER
TO WHOM IT MAY CONCERN:

This is to certify that I am allowing my son/daughter, _________________________


to join the VICTORY PARTY of his/her team, the HEALTH VANGUARDS, in Casa Romana,
San Fabian, Pangasinan, scheduled on September 25, 1PM to September 26, 2PM.

It is understood that the above-stated endeavor is not a school activity and that my
son/daughter shall abide by the rules and regulations that may be imposed by the Team
Manager/Coaches/Coordinator/Faculty Member for the welfare and safety of the group.

Furthermore it is noted that I fully agree to waive any responsibility on the part of the
University and the faculty-in-charge in case any untoward incident happens to my
son/daughter during the party and all the activities included therein.

Date: _____________________

___________________________
Signature
___________________________
Printed Name of Parent/Guardian

ORGANIZATIONAL COPY

CERTIFICATION OF WAIVER
TO WHOM IT MAY CONCERN:

This is to certify that I am allowing my son/daughter, _________________________


to join the VICTORY PARTY of his/her team, the HEALTH VANGUARDS, in Casa Romana,
San Fabian, Pangasinan, scheduled on September 25, 1PM to September 26, 2PM.

It is understood that the above-stated endeavor is not a school activity and that my
son/daughter shall abide by the rules and regulations that may be imposed by the Team
Manager/Coaches/Coordinator/Faculty Member for the welfare and safety of the group.

Furthermore it is noted that I fully agree to waive any responsibility on the part of the
University and the faculty-in-charge in case any untoward incident happens to my
son/daughter during the party and all the activities included therein.

Date: _____________________

___________________________
Signature
___________________________
Printed Name of Parent/Guardian

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