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    Romel AGBON
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    Zenaida Agbon, parent of Romel Agbon, gave her consent for her child to participate in a Recollection activity at Holy Name University on October 19, 2022. She acknowledged awareness of potential risks and benefits, and that the school would take safety precautions, but her child also had responsibility for self-protection. Zenaida signed the consent form on September 26, 2022 in Tagbilaran City, Bohol.

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    Parents-Consent

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    Zenaida Agbon, parent of Romel Agbon, gave her consent for her child to participate in a Recollection activity at Holy Name University on October 19, 2022. She acknowledged awareness of potential risks and benefits, and that the school would take safety precautions, but her child also had responsibility for self-protection. Zenaida signed the consent form on September 26, 2022 in Tagbilaran City, Bohol.

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    11 views1 page

    Parents Consent

    Uploaded by

    Romel AGBON
    Zenaida Agbon, parent of Romel Agbon, gave her consent for her child to participate in a Recollection activity at Holy Name University on October 19, 2022. She acknowledged awareness of potential risks and benefits, and that the school would take safety precautions, but her child also had responsibility for self-protection. Zenaida signed the consent form on September 26, 2022 in Tagbilaran City, Bohol.

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    © All Rights Reserved
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    CENTER FOR STUDENT AFFAIRS

    Holy Name University


    Tagbilaran City

    PARENT’S CONSENT

    The President
    Holy Name University
    Tagbilaran City

    Through: The Director


    Center for Student Affairs
    Holy Name University

    I, Zenaida Agbon the parent/guardian of Romel Agbon hereby allow my child/ward to join the
    Recollection on October 19, 2022, Wednesday at Holy Name University.

    By affirming my consent, I am conscious of the risks and benefits involved in this activity. I am
    also aware that the school will take all the precautionary measures to ensure safety and security
    of my child/ward. That after having obtained my permission, my child/ward also has the
    responsibility of safeguarding himself/herself.

    ZENAIDA AGBON September 26, 2022


    Signature over Printed Name of Parent/Guardian Date

    Subscribed and sworn to before me this 26th day of September, 2022 at Tagbilaran City,
    Bohol.

    CSA Form 3

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