WAIVER / PARENTAL CONSENT PATTS Excecutive Building,

Lombos Avenue, San Isidro,

PATTS Student Council and OJT and Parañaque City, Philippines
(632) 8820-2822
Placement Office (632) 8825-8823
(632) 8825-8824
www.patts.edu.ph Name of Organization
IMPORTANT: Please read the whole content of this WAIVER/PARENTAL CONSENT before signing and submitting to OSA.
PARENT'S/GUARDIAN'S COPY
Date: Tuesday, June 28, 2022
Nature of Activity: Career Development Program
Title of Activity: Navigating through the Professional World: Propelling to the Next Phase!
Inclusive Date/s: July 8, 2022 (Friday) Time: 9:00 AM - 4:00 PM
Place of Activity: Chairman's Penthouse, PATTS College of Aeronautics, Lombos Avenue San Isidro, Paranaque City
Fee (in PhP): None Inclusive/s:

Emelita I. Javier Vice President for Student Affairs emy.javier@patts.edu.ph

Signature Over Printed Name Position Contact Number
CUT ALONG THIS BROKEN LINE CUT ALONG THIS BROKEN LINE CUT ALONG THIS BROKEN LINE

WAIVER / PARENTAL CONSENT PATTS Excecutive Building,

Lombos Avenue, San Isidro,
PATTS Student Council and OJT and Parañaque City, Philippines
(632) 8820-2822
Placement Office (632) 8825-8823
(632) 8825-8824
www.patts.edu.ph Name of Organization
IMPORTANT: Please read the whole content of this WAIVER/PARENTAL CONSENT before signing and submitting to OSA.

Nature of Activity: Career Development Program Date/s: July 8, 2022 (Friday)

Place of Activity: Navigating through the Professional World: Propelling to the Next Phase! Time: 9:00 AM - 4:00 PM
Gentlemen:
As the parent/guardian of student, ,
(Last Name) (Given Name) (Middle Name)
I allow him to join and participate to the aforementioned activity.
We understand the following basic policies which the participant should comply:
1. No drinking of liquor, no drugs, no gambling, and no to any form of illegal activities that would
ruin the name of the College;
2. No visiting or going to any other place/s except to those indicated in the venue and/or itinerary;
3. No swimming in the sea, river, lake, stream, waterfall and the like.
Together with my son, we know that the organization, PATTS Student Council and OJT and Placement Office
or PATTS College of Aeronautics and its officers, employees, and faculty advisers are expected to exercise the
legal diligence required for the safety and well-being of my child for the whole duration, place, date, and time of
the activity as stated.
The legal diligence would include oral or written instructions whether given before or during the activity, that if
followed, would ensure the safety of my child.
If my son disregards or fails to follow these instructions or should act on his own will, I, together with
my child, shall have no claims against the organization, PATTS Student Council and OJT and Placement Office
or PATTS College of Aeronautics, its officers, staff-in-charge, employees, and faculty advisers, should any
damage be caused or liability be incurred to property and/or person.
We agree and understand that PATTS College of Aeronautics advises against this travel due to the alarming possible exposure
to the Coronavirus (COVID-19) that has affected several cities.
Also, we hereby allow PATTS College of Aeronautics to process and use the information provided for whatever legal, intended, and
specified activity and purpose it may serve. This consent will remain in effect unless revoked by us in letter or email.
Very truly yours,
Last Name of Parent/Guardian M.I.

Given Name of Parent/Guardian

-
Parent/Guardian's Signature Date and Time Signed Contact Number (Cellphone/Telephone)
Last Name of Student-Participant M.I.

Given Name of Student-Participant

Student's Date of Birth (MM-DD-YYYY) Student ID Number

- - - -

-
Student's Signature Date and Time Signed Contact Number (Cellphone/Telephone)

IMPORTANT REMINDER: Students without Waiver/Parental Consent will not be allowed to join the activity mentioned above. For strict compliance. Kindly
complete all the details required and submit it to the officer-in-charge together with a photo/scanned copy of the ID of parent/guardian with clear signature.

Noted by:

Engr. Brixvon P. Cruz Dr. Emelita I. Javier

Organization’s Adviser Organization’s Adviser Vice-President for Student Affairs
Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name

Rev. 02 - 011219 EIJ/bpc OSA Form No. 20-004