No.:_______ No.

:_______

Parental Consent Form

Parental Consent Form

PHILIPPINE SOCIETY OF MECHANICAL ENGINEERS

PHILIPPINE SOCIETY OF MECHANICAL ENGINEERS Name of Student Organization: BULACAN STATE UNIVERSITY – STUDENT CHAPTER (PSME BULSU-SC)
______________________________________________
BULACAN STATE UNIVERSITY – STUDENT CHAPTER (PSME BULSU-SC)
Name of Student Organization: _____________________________________________

67th PSME National Convention (NATCON)

Name of Activity: _________________________________________________________
67th PSME National Convention (NATCON)
Name of Activity: _________________________________________________________

Nature of Activity: Co-Curricular Extra-Curricular

Nature of Activity: Co-Curricular Extra-Curricular

Venue: __________________________ OCTOBER 16, 2019

SMX Convention Center, Pasay City Inclusive Dates: _________________________
Venue: _________________________Inclusive
SMX Convention Center, Pasay City OCTOBER 16, 2019
Dates: _________________________

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