REPUBLIC

REPUBLIC OFOF
THE
THEPHILIPPINES
PHILIPPINES
DEPARTMENT
DEPARTMENT OFOF
EDUCATION
EDUCATION
Region
Region
I I
Division
Division
of of
LaLa
Union
Union

NAGUILIAN
NAGUILIANSENIOR
SENIORHIGH
HIGH
SCHOOL
SCHOOL
P. P.
Florendo
Florendo
St.,St.,
Brgy.
Brgy.
Ortiz,
Ortiz,
Naguilian,
Naguilian,
LaLa
Union
Union
School
School
ID:ID:
340823
340823
Email:
Email:
naguilianSHS@gmail.com
naguilianSHS@gmail.com
0
WAIVER
CERTIFICATION OF PARENTS CONSENT AND NAGUILIAN SENIOR HIGH SCHOOL LIABILITY FOR
THE JDVP TRAINING PROGRAM HELD AT LA UNION SCIENCE AND TECHNOLOGY CATBANGEN
CITY of SAN FERNANDO LA UNION.
Name of the Student: __________________________________ Grade/Section: _______________
Date of Activity: October 21- December 16, 2019
Teacher(s) Concern: Mrs. Brenda Bandarana G. Nucasa
Principal: Mrs. Zoila A. Martinez
Subject: JDVP TRAINING (Cookery NC II)

CERTIFICATION

I, ______________________________________ of ____________________________ student of

NAGUILIAN SENIOR HIGH SCHOOL having been accepted to join the JDVP TRAINING PROGRAM
under LA UNION SCIENCE AND TECHNOLOGY CATBANGEN CITY of SAN FERNANDO LA UNION
program to be scheduled on OCTOBER 21, 2019 at CATBANGEN LA UNION, La Union; and
We________________________________of_______________________parents/guardians of
_________________________, after giving our consent and permission to him/her to join the JDVP
Training Program mentioned above do hereby resolve and free the NAGUILIAN SENIOR HIGH
SCHOOL from whatsoever liability, damage or claim of whatever nature and kind that may arise by
reason of said activity, accidental or otherwise by reason of unforeseen circumstances or through
force majeure, and not the result of negligence, omission or commission by any faculty member,
personnel, employee of the SCHOOL.
Done at ____________________________, this ______ day of ___________________.

_____________________________ ____________________ (Student’s

(Parents/Guardians Signature Signature
over Printed Name) over Printed Name)