COVID -19 WAIVER OF PARENT OR GUARDIAN OF MINOR CHILD

KNOW ALL MEN BY THESE PRESENTS:

That I, Amrollah Datumanong, Filipino, single (or married), and a resident of Tubod,
Iligan City, hereby acknowledge that I am the parent/guardian of Hysham Datumanong,
a minor who is enrolled at La Salle Academy.

I agree that by committing my child to attend limited F2F classes as an on-campus

or in person student, I am voluntarily assuming any and all risks that
notwithstanding the School’s best efforts to implement and require compliance
with prevention and mitigating measures of the National and Local Government, I,
my family or my child, may be exposed to the coronavirus and may become ill with
COVID-19 or any of its mutations, and such exposure and illness may result in
personal injury, temporary or permanent disability, or even death. By voluntarily
assuming all the risks that attach to the on-campus or in person education of my
child, I am holding the school free and harmless of any unfortunate consequence
that a COVID - 19 (or any of its mutations) infection may bring should my child, or
any member of my family, contract the same while attending on-campus or in
person classes at La Salle Academy.

That I am fully aware of the contents of this waiver and I am executing the same
voluntarily and fully aware of the consequences of the same.

IN WITNESS WHEREOF, I have set my hand and signature this 16th day of August,
2022 at Iligan City, Philippines.

SIGNED IN THE PRESENCE OF:

__________________________
Homeroom Adviser

Mr. Jay A. Velez

President:

__________________________
Parent/Guardian