WAIVER

Address : ____________________
____________________
____________________
Date:
______________________________________
______________________________________
Faculty Adviser/ Organizer
______________________________________
Course/ Year Section/ Name of Organization

Sir/Madam:
I ___________________________________, parent/guardian of (Name of Student)
____________________________________ permit/s my daughter/son/ward to
attend/participate in (activity) ___________________________________________________
on (date) ___________________________ at (time) ___________________________to be
held in (venue) _____________________________. I hereby waive my right to file any charges
against the university or faculty adviser/organizer in case any untoward incident happens during
the activity and in – transit to and from the place of activity.

________________________________
Signature (Parent/Guardian)

________________________________
Printed Name (Parent/Guardian)

WAIVER
Address : ____________________
____________________
____________________
Date:
______________________________________
______________________________________
Faculty Adviser/ Organizer
______________________________________
Course/ Year Section/ Name of Organization

Sir/Madam:
I ___________________________________, parent/guardian of (Name of Student)
____________________________________ permit/s my daughter/son/ward to
attend/participate in (activity) ___________________________________________________
on (date) ___________________________ at (time) ___________________________to be
held in (venue) _____________________________. I hereby waive my right to file any charges
against the university or faculty adviser/organizer in case any untoward incident happens during
the activity and in – transit to and from the place of activity.

________________________________
Signature (Parent/Guardian)

________________________________
Printed Name (Parent/Guardian)