PERMISSION SLIP & WAIVER FORM

I, ______________________________________________ (print name) the parent/guardian of

the student acknowledge that I am allowing ______________________________________________
(name of student), a First/Fourth Year student of the Department of Economics to participate on the
ECONOMICS NIGHT 2019, an undertaking of Economics Research Society, at the San Juan Multi-
Purpose Hall, San Juan City, Metro Manila.

I understand that certain risks are inherent in the travel and the other activities in which the
student will participate on the study, and fully accept those risks. These risks include, but not limited
to, injury, disease or other threat of physical harm to the student and others and damage to or theft of
personal property.

I understand and agree that the name of the University, The Polytechnic University of the
Philippines, is not responsible for any harm that may occur before, during, and after the study.

Printed Name and Signature of Student: Printed Name and Signature of Parent/Guardian:

PERMISSION SLIP & WAIVER FORM

I, ______________________________________________ (print name) the parent/guardian of

the student acknowledge that I am allowing ______________________________________________
(name of student), a First/Fourth Year student of the Department of Economics to participate on the
ECONOMICS NIGHT 2019, an undertaking of Economics Research Society, at the San Juan Multi-
Purpose Hall, San Juan City, Metro Manila.

I understand that certain risks are inherent in the travel and the other activities in which the
student will participate on the study, and fully accept those risks. These risks include, but not limited
to, injury, disease or other threat of physical harm to the student and others and damage to or theft of
personal property.

I understand and agree that the name of the University, The Polytechnic University of the
Philippines, is not responsible for any harm that may occur before, during, and after the study.

Printed Name and Signature of Student: Printed Name and Signature of Parent/Guardian: