Montessori Professional College

Marikina Branch Inc.

Marcos Highway near cor Imelda Avenue
Marikina City
Tel no. 655-64-78

WAIVER FORM FOR OFF – CAMPUS ACTIVITIES

I am allowing my son / daughter, __________________________________________________________________

With LRN: __________________________________________________________________
From the Department of Senior High School___________________________________________

To join and participate in:

Title of activity: On the Job Training (OJT)__________________________________
Nature of activity: Practicum_____________________________________________________
Venue and Address of activity: __________________________________________________________________
Staff – in – charge: __________________________________________________________________

Together with my child, I know that the School and its officers, faculty, and staff are expected
to exercise the Legal diligence required for the safety and well being of my child for the
duration and the place, date, and time of the activity as stated.

This legal diligence would include oral or written instructions, whether given before or during
the activity, that if followed, would ensure the safety of my child.

If my child disregards or fails to follow those instructions or should act on his/her own, I,
together with my child, shall have no claims against the school, its officers, faculty, and staff –
in – charge should any damage be caused or liability be incurred to property or person.

______________________________________________ ___________________________________________________
Signature above printed name Signature above printed name of student
Or parent / guardian