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WAIVER

We, ___________________________________________, parents/guardian of


________________________________, a student of UNIVERSITY OF THE EAST
renounce and waive any claim against ______________________________________
Company Name

for any injury or loss that, our son/daughter may sustain or may suffer, personal or
pecuniary, in the performance of his/her duties and functions while under the On-theJob Training Program not attributable to the negligence or willful act of any of the
personnel of ______________________________________.
Company Name

Signed this ___ day of 201___


________________________________
Signature over Printed Name of
Parent/Guardian

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