ARELLANO UNIVERSITY

2600 Legarda St. Sampaloc, Manila

CONSENT FORM
SCHOOL YEAR 2022-2023

I, ______Ma. Kimberly Cruz____ ,(parent/guardian) of __________Lester Ibale_______ (student’s

name), _21_years old, a student of Arellano University-Andres Bonifacio Campus, do hereby give
my consent, willingly and voluntarily, for the participation of ____Lester Ibale____(student’s name),
in the all official activities approved by respective authorities within the school to be shown and/or
posted online

By signing this consent form, I undertake to remind my son/daughter/ward to always act with due
diligence, safety, and care, endeavouring at all times to see to it that his/her conduct during the entire
affair/activity shall establish, maintain and contribute to his/her personal security and protection and
those of the other participants of the activity. By reason of said event, I understand and give consent
to personal information that may be shared to the public for legitimate purposes of the University. I
hold Arellano University, its officers, directors, personnel, free from any and all liability that may
arise from the participation of ____Lester Ibale_______(student’s name), in said event.

Parent/Guardian: MA. KIMBERLY CRUZ

Conforme:

Student: Lester Ibale

(Please attach copy of any valid ID of parent/guardian)