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  • UEP College of Nursing waiver form for student activities

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    Hannah Pearl Doncillo
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    This document is an affidavit of waiver and consent for a student from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines to participate in an upcoming event. It waives the rights of the parent/guardian to make any claims against the university or organizers for the activity. It also grants permission for medical treatment to be provided to the student if needed during the event. The parent/guardian signs the document providing their contact information and listing any medical conditions or medications for their child.

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    Original Title

    Chn Waiver Form

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    This document is an affidavit of waiver and consent for a student from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines to participate in an upcoming event. It waives the rights of the parent/guardian to make any claims against the university or organizers for the activity. It also grants permission for medical treatment to be provided to the student if needed during the event. The parent/guardian signs the document providing their contact information and listing any medical conditions or medications for their child.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    UEP College of Nursing waiver form for student activities

    Uploaded by

    Hannah Pearl Doncillo
    This document is an affidavit of waiver and consent for a student from the College of Nursing and Allied Health Sciences at the University of Eastern Philippines to participate in an upcoming event. It waives the rights of the parent/guardian to make any claims against the university or organizers for the activity. It also grants permission for medical treatment to be provided to the student if needed during the event. The parent/guardian signs the document providing their contact information and listing any medical conditions or medications for their child.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Republic of the Philippines

    UNIVERSITY OF EASTERN PHILIPPINES


    University Town, Northern Samar
    Web: http://uep.edu.ph Email: uepnsofficial@gmail.com

    COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

    AFFIDAVIT OF WAIVER AND CONSENT

    I, fully allow my son/daughter ______________________________ to attend and participate


    in the College of Nursing and Allied Health Sciences _____________________ for students,
    which will be held on _____________________________.

    I agree to waive my rights which I may have against the College of Nursing and Allied Health
    Sciences and the University of Eastern Philippines, its officers, advisers, members and all
    organizers of this activity and release, indemnify and hold them harmless from all claims of
    liability arising from my child's participation in this activity. I also agree that the College of
    Nursing and Allied Health Sciences and the University of Eastern Philippines, its officers,
    advisers’ members and all organizers of this activity will be free from any responsibility
    whatsoever to my child for incidents beyond its control.

    Should my child require medical attention as a result of accident or serious illness, I do hereby
    grant and below upon the organizers of this activity permission and authority for and on my
    behalf to authorize any licensed medical practitioner to render medical aid and treatment,
    upon his/her person.

    Ailment (s) of your child: ________________

    Medication might need: _________________

    _______________________________________
    Signature over printed Name of Parent/Guardian

    _____________________________
    Contact Number of Parent/Guardian

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