WAIVER

Name: _______________________________________________________
Julius Lester B. Abiera Age: ______________
20
Contact No.: _________________________
09364602683 School: __________________________________________
LPU-Manila
Home Address: 316-G Eusebio St. San Isidro, Pasay City
_______________________________________________________________________
Mother’s Name: ________________________________
Marvie B. Abiera Contact No.: 09261047138
___________________
Father’s Name: Benjamin C. Abiera Jr. Contact No.:
________________________________ ___________________
N/A
Guardian’s ________________________________
Marvie B. Abiera Contact No.: 09261047138
___________________
Name:

Julius Lester B. Abiera

I allow my son / daughter __________________________________________________to attend and
participate in the 12th National Accounting Quiz Showdown on September 7., 2019 at
_____________________________________.
SGV & Co., Makati City

I agree to waive my right against the NFJPIA, its officers, advisers, members, and all the
organizers of this event and to release, indemnify, and hold them harmless from all claims
of liability arising out of my child’s participation in this activity. I also agree that NFJPIA,
its officers, advisers, members and all the organizers of this event has responsibility
to my child, only within the premises of the venue.

Should my child require medical attention as result of accident or serious illness, I do

hereby grant and bestow upon the organizers of this event permission and authority
for and on my behalf to authorize any licensed medical practitioner to render medical
aid and treatment.

Ailment(s) of your child: ________________________________________________________________

N/A
Medication might need: ________________________________________________________________
N/A
Allergies with certain medications: __________________________________________________
N/A

CONFORME: ____________________________________
Marvie B. Abiera __________________________
09261047138
(Signature over printed name) (Contact Number)