FM-

SWS-
09

STUDENTSWAI
VER

Dat
e:Januar
y31,
2023
ThePr
esident
Thi
sColl
ege
Si
r:

Pl
ease beinf
ormed that I am
permi
tt
ing
Mar
yJaneB.Pel
aezt
oat
tendtheEGRESSAND ENGRESSOFTHEEVENT
I
CCATHLON2023onFebr
uar
y4-
11,2023atMi
ndor
oSt
ateUni
ver
sit
y-Cal
apan
Ci
tyCampus.Iassumef
ullr
esponsi
bil
i
tyf
oral
l
owi
ng myson/daught
er/t
o
j
oint
heaf
orement
ionedact
ivi
ty.
Ver
ytr
ulyy
our
s,

LETECI
AB.PELAEZ
Si
gnat
ureov
erPr
int
ednameofGuar
dian

FM-
SWS-
09

Dat
e:Januar
y23,
2023

Towhom i
tmayconcer
n:
Thi
s i
s t
o cer
ti
fyt
hat I am v
olunt
ari
l
y j
oini
ng /par
ti
cipat
ing/
at
tendi
ng t he EGRESSANDENGRESSOFTHEEVENTI
o/ t CCATHLON2023
onFebr
uar
y4-
11,2023,atMi
ndor
oSt
ateUni
ver
sit
y-Cal
apanCi
tyCampus.I
al
so decl
aret
hatnei
therMi
nSUnori
tsof
fi
cial
sshoul
dbehel
dresponsi
blef
or
anyunt
owar
dinci
dentt
hatmayhappendur
ingt
heact
ivi
ty.

MARYJANEB.PELAEZ
(
Student
’sSi
gnat
ure)
Not
ed: _
___
___
___
___
___
___
___
___
___
__
Adv
iser
Acknowl
edged:

ALEXI
SP.FORTUNATO
Coor
dinat
or,
StudentAf
fai
rsandSer
vices