I am the parent/legal guardian of (NAME OF STUDENT/s) _____________________________________,

currently a (GRADE/SECTION)_________________ student/s of HOLY ANGEL UNIVERSITY (HAU).

I understand that HAU will conduct limited face to face classes in accordance with the guidelines
provided by the Department of Education. In the conduct of its classes, I understand that HAU will
implement the public health standards set by the government. I acknowledge that HAU cannot
ensure that COVID-19 will not infect my child/children, due to its highly contagious nature.

I understand that my child’s /children’s in-person attendance in HAU will include interaction with
teachers, classmates, school employees, and other people in and out of school, who may possibly put
my child/children at risk of COVID-19 exposure/transmission, notwithstanding the serious
precautions undertaken by HAU.

I recognize that my child/children's participation in this activity is entirely voluntary. Although the
possibility of my child/children and/or our household members becoming exposed to COVID-19
remains, I freely assume the risk and I permit my child/children to participate in this activity.

I am aware of symptoms of COVID-19 which include, but are not limited to, fever, cough, shortness
of breath, fatigue, pain and soreness of muscles, loss of taste or smell, sore throat, cold or stuffy nose,
nausea, vomiting, and diarrhea.

I confirm that my child/children does/do not have any of the above symptoms and is/are currently in
good health. I agree not to allow my child/children to attend school face-to-face if my child/children or
anyone in our household develops any of the above symptoms and/or any other symptoms that may
be related to COVID-19. I will also immediately notify HAU of our condition and I will not allow my
child/children to participate in the face-to-face class if he/she/they or anyone in our household tests
positive for COVID-19. I, my child/children, and our household members, will follow the required
health and safety protocols and procedures established by HAU and our community.

To the extent permitted under law and the rules, I hereby agree to waive, release, and discharge any
and all claims, causes of action, damages, and rights against HAU, its employees and officers, or any
other personnel, as well as the Department of Education, in connection with this activity.

With full understanding, and on behalf of myself, my family members, and my child/children, I
expressly give my free and voluntary consent for my child/children to participate in this activity
beginning July, 2022 until May, 2023. I also attest that I consulted my child's/children’s opinion and
he/she/they have expressed his/her /their willingness to participate in this activity.

Parent’s/Guardian’s Signature: __________________________

Printed Name: __________________________

Date: __________________________

Student’s Signature: __________________________

Printed Name: __________________________

Date: __________________________