You are on page 1of 1

GUARDIAN/PARENTAL CONSENT

PTR. GLENN T. REPIQUE, PhD, RPsy


College President
Fellowship Baptist College

Good day!
I am allowing my son/daughter, ____________________________________, to participate in
the activity mentioned below. Furthermore, I will not hold the school or any party responsible
for any untoward incidents that may happen in the course of the activity as long as proper care
is observed to ensure the safety of the students.

Activity:
Venue:
Inclusive Date:
Time:

Printed name and signature of parents/guardian: _____________________________________


Address: ______________________________________________________________________
Contact Number(s): _____________________________________________________________
Date: ____________

You might also like