ST.

ANDREW’S HIGH SCHOOL OF ANINI-Y, INCORPORATED

Anini-y, Antique

PARENT’S WAIVER FORM

TO WHOM IT MAY CONCERN:

This is to certify that I am allowing my son/daughter, ____________________________, to go on
Work Immersion for a minimum of 80 hours on ________________ until _________________ at
_______________________ in partial fulfillment of the requirements for the K-12 Curriculum (Senior
High School).
It is understood that he/she abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his/her welfare and safety.
I fully agree to waive any responsibility on the part of St. Andrew’s High School of Anini-y,
Incorporated, and/or the representative/s, in case of untoward incident that may happen to my
son/daughter during the duration of the Work Immersion.

____________________ __________________ ________________

Name of Parent Signature Date

ST. ANDREW’S HIGH SCHOOL OF ANINI-Y, INCORPORATED

Anini-y, Antique

PARENT’S WAIVER FORM

TO WHOM IT MAY CONCERN:

This is to certify that I am allowing my son/daughter, ____________________________, to go on
Work Immersion for a minimum of 80 hours on ________________ until _________________ at
_______________________ in partial fulfillment of the requirements for the K-12 Curriculum (Senior
High School).
It is understood that he/she abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his/her welfare and safety.
I fully agree to waive any responsibility on the part of St. Andrew’s High School of Anini-y,
Incorporated, and/or the representative/s, in case of untoward incident that may happen to my
son/daughter during the duration of the Work Immersion.

____________________ __________________ ________________

Name of Parent Signature Date