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SAN CARLOS CITY DIVISION

GUELEW INTEGRATED SCHOOL


San Carlos City, Pangasinan

___________________________
Date
PARENT/GUARDIAN WAIVER

TO WHOM IT MAY CONCERN:


This is to certify that I am allowing my son/daughter, _________________________________ to have a WORK IMMERSION at
___________________________________ scheduled on _____________________________. It is understood that my son/daughter shall abide by the
rules and regulations that may be imposed by the school and industry partner, for the students’ welfare and safety. It is further understood that I
fully agree to waive any responsibility on the part of Guelew Integrated School, partner industry and Department of Education, in case any
untoward incident happens to my son/daughter in case of personal negligence and/or misconduct; or event beyond human control. .

________________________________
Signature over Printed Name of Parents/Guardian
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STUDENT WAIVER

TO WHOM IT MAY CONCERN:


This is to certify that I___________________________, Grade 12 Senior High School student, have secure proper parent’s consent and support
relative to our WORK IMMERSION at _________________________________. I further certify that I express willingness and commitment to
complete the required training hours by the school and the establishment, in compliance with the requirement in WORK IMMERSION.

I waived any liability relative to this work immersion of which I shall not hold the school, the Partner Institution, the Work Immersion teacher, and
that I am responsible over my personal negligence and/or misconduct; or event beyond human control.

________________________________
Signature over Printed Name of Parents/Guardian
SAN CARLOS CITY DIVISION
GUELEW INTEGRATED SCHOOL
San Carlos City, Pangasinan

PARENTS & STUDENTS ORIENTATION FOR WORK IMMERSION


November 8, 2017

NAME OF STUDENT SIGNATURE NAME OF PARENT/GUARDIAN SIGNATURE CONTACT NUMBER


VIRGEN MILAGROSA UNIVERSITY
FOUNDATION
San Carlos City, Pangasinan

___________________________
Date

CERTIFICATION OF WAIVER

TO WHOM IT MAY CONCERN:

This to certify that I am allowing my son/daughter, _________________________________ to have a duty at VMUF Alumni Center
scheduled on _____________________________. It is understood that my son/daughter shall abide by the rules and regulations that may be
imposed by the hotel managers and staff for the students’ welfare and safety. It is further understood that I fully agree to waive any responsibility
on the part of the Virgen Milagrosa University Foundation, VMUF Alumni Center, College of Hotel and Restaurant Management in case any
untoward incident happens to my son/daughter during the duty.

______________________________
Signature
________________________________
Printed Name of Parents/Guardian

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