Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Kalinga
RIZAL NATIONAL SCHOOL OF ARTS AND TRADES
Liwan West, Rizal, Kalinga

ACTIVITY WAIVER

This is to certify that I am participating in the “RNSAT 48th Foundaing

Anniversary: Contested Sports Activities’’ of my own volition and free will. I
declare that I am physically and mentally fit to undergo the activities in this
competition.

I agree to assume all risks incidental to my participation, and I hereby

release and discharge
liabilities, claims, actions, damages of any nature arising from, or any way connected in my
participation in the event including any / all activities related therein.

Of and from all liabilities, claims, actions, damages of any nature arising
from, or any way connected in my participation in the event including any / all activities
related therein.

JOHN LOURENCE N. OAQUERA NORALYN NGISLAWAN- GUNNAWA

Participant’s Signature over printed name Parent’s Signature Over Printed name

I hereby certify that the above information is true and correct, and
that I shall abide by all the rules and regulations set to this competition.