Republic of the Philippines _ Cebu Mormal Gniversity OFFICE OF STUDENT AFFAIRS WAIVER FOR UNDERGRADUATE STUDENTS (PARENT'S PERMIT) Date Asa parent/guardian of (Name of Student, Course, Vr and See. with ID no. « Lallow my son/daughter to join and participate i Department / Unit Class/Organization Sponsoring Activity : Nature of Activity +_ Date of Activity 2 Place of Activity a Faculty/Adviser/Staff-in-charge: Faculty Chaperon: Tapaiure Over nied Nomc of Faauly Chaperonignature Over Printed Name of Faailly Adviser Together with my"chlld, 1 know that the University and its Officers, Faculty and Staff are expected to exercise the legal diligence requited for the safety and well- being of my child for the duration and place, date and time of the activity as stated. This legal diligence required oral or written instructions, whether given before or during the activity, that if followed would ensure the sy of my child. If the child disregards or fails to follow those instruction or should act on his/her own, 1, together with my child, shall have no claims against the University, its Officers, Faculty, Adviser, Staff-in-charge any damage be caused or tiability be incurred to property or person Very Truly yours, Signature Over Printed Name of Parents/Guardian ‘Contact Numbers Signature Over Printed Name of Student Contact Numbers Concurred: GWENDELINA A. VILLARANTE, RGG, Rifm Dean, Student Affairs