Informatics College Northgate

IT Convergence Building
Indo-China Drive, Northgate Cyberzone, Filnvest Corporate City, Alabang,
Muntinlupa City
Tel.: + (632) 772 2474
Fax:+(632)7722476

Parent/Guardian’s Waiver Form

I, Elyzel Grace U. Flores (name of Parent) approved my

son/daughter Axle Gian U. Flores (name of student) to join

the Infolympics wellness dance practice. I am allowing my Son/Daughter to join the dance practice.

As a parent, I understand that there are certain risks of injury inherent in the practice/trainings of the

practice, as well as in traveling and other related activities incidental to my child’s participation, and I am

willing to assume these risks on behalf of my child. I hereby certify that my son/daughter is fully capable of

participating in the designated practice and my child is healthy and has no physical or mental disabilities

or conditions that would restrict full participation in these activities.

I hereby acknowledge the risk of this activity and affirmed that I will not held any liabilities to

Informatics College Northgate and to its personnel in case of untoward incidents/accidents.

Attached here is a photocopy of my Valid ID.

Elyzel Grace U. Flores 12/01/22

Parent/Guardian’s Signature over Printed Name Date

www.informatics.edu.ph
 Informatics College Northgate

IT Convergence Building
Indo-China Drive, Northgate Cyberzone, Filnvest Corporate City, Alabang,
Muntinlupa City
Tel.: + (632) 772 2474
Fax:+(632)7722476

Student’s Waiver Form

I, Axle Gian U. Flores voluntarily join the “Infolympics

wellness dance practice”. I am participating for the opening program and activities.

As a Student, I understand that there are certain risks of injury inherent in the practice/trainings of

the practice, as well as in traveling and other related activities incidental to my participation, and I am

willing to assume these risks on behalf of my parents. I hereby certify that I am fully capable of

participating in the designated sport and I am healthy and has no physical or mental disabilities or

conditions that would restrict full participation in these activities.

I hereby acknowledge the risk of this activity and affirmed that I will not held any liabilities to

Informatics College Northgate and to its personnel in case of untoward incidents/accidents.

12/01/22
Student’s Signature over Printed Name Date

www.informatics.edu.ph