WAIVER

I, __________________________________ the parent/guardian of

__________________________ allow my son/daughter, a student of the Mabilao NHS, to be
vaccinated with COVID-19 Vaccine (Pfizer) on November 30, 2021 at Mabilao National High
School Gymnasium
I understand that the minimum health protocol will be observed such as wearing of mask
and social distancing.

_____________________________________________________________________________

WAIVER
I, __________________________________ the parent/guardian of
__________________________ allow my son/daughter, a student of the Mabilao NHS, to be
vaccinated with COVID-19 Vaccine (Pfizer) on November 30, 2021 at Mabilao National High
School Gymnasium
I understand that the minimum health protocol will be observed such as wearing of mask and
social distancing.

_____________________________________________________________________________
WAIVER
I, __________________________________ the parent/guardian of
__________________________ allow my son/daughter, a student of the Mabilao NHS, to be
vaccinated with COVID-19 Vaccine (Pfizer) on November 30, 2021 at Mabilao National High
School Gymnasium
I understand that the minimum health protocol will be observed such as wearing of mask
and social distancing.

_____________________________________________________________________________

WAIVER
I, __________________________________ the parent/guardian of
__________________________ allow my son/daughter, a student of the Mabilao NHS, to be
vaccinated with COVID-19 Vaccine (Pfizer) on November 30, 2021 at Mabilao National High
School Gymnasium
I understand that the minimum health protocol will be observed such as wearing of mask and
social distancing.