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Parental Consent Form No.

:_______
Parental Consent Form No.:_______

Name of Student Organization: Society of Manufacturing Engineers – BulSU SC


Name of Student Organization: Society of Manufacturing Engineers – BulSU SC
Name of Activity: AxIS 2018: Accelerating Exchange for Innovation Summit
Name of Activity: AxIS 2018: Accelerating Exchange for Innovation Summit
Nature of Activity: Co-Curricular Extra-Curricular
Nature of Activity: Co-Curricular Extra-Curricular
Venue: De La Salle University - Manila Inclusive Dates: March 17, 2018 (Saturday)
Venue: De La Salle University - Manila Inclusive Dates: March 17, 2018 (Saturday)

I allow my son/daughter to attend the activity. I allow my son/daughter to attend the activity.
I trust that the organizers of this activity will take due diligence to ensure the safety of I trust that the organizers of this activity will take due diligence to ensure the safety of
my son/daughter as a participant. my son/daughter as a participant.

I do not allow my son/daughter to attend the activity. I do not allow my son/daughter to attend the activity.

Name of Student: _________________________________________________________ Name of Student: _________________________________________________________

Name of Parent/Guardian: __________________________________________________ Name of Parent/Guardian: __________________________________________________

Phone/Cell phone number: _________________________________________________ Phone/Cell phone number: _________________________________________________

Address: _______________________________________________________________ Address: _______________________________________________________________

Signature: ______________________________________________________________ Signature: ______________________________________________________________

BulSU-OP-OSO-02F5 Page 1 of 1 BulSU-OP-OSO-02F5 Page 1 of 1


Revision: 1 Revision: 1

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