ARELLANO UNIVERSITY

7600 Lega r da St. Sampaloc, Manila

CONSENT FORM
SCHOOL YEAR 2022-
2023

(DIGITAL GAME CHARACTER DESIGN)

mf'IHI fl. c,o
D
I, _, (parent/guardian) of L yY\()Y\ P. &oY\ o (student's name), ..!.]_ years old,
a tudent of Arellano University-.JJJil n Sumu{on9 (campus), do hereby give my consent,
willingly and voluntarily, for the participation of iy rry.>(I f. & flt> (student's name), in
all
official school activities approved by respective authorities within the school to be shown
and/or posted online.

By signing this consent form, I undertake to remind my son/daughter/ward to always act

with due diligence, safety, and care, endeavoring at all times to see to it that his/her
conduct during the entire affair/activity shall establish, maintain and contribute to his/her
personal security and protection and those of the other participants of the activity. By
reason of said event, I understand and give consent to personal information that may be
shared to the public fo purposes of the University. I hold Arellano University,
its officers , directors, net, free from any and all liability that may arise from the
participation of 0/vnoY"'\ p (Jo no (student's name), in said events.

REPUBLIKA NG PILIPINAS
Republic of the Philippines
PAMBANSANG
' "'··- PAGKAKAKILANLAN
Parent/Guardian ···
Philippine ldentdkat ion Card'

····-"' Apely 1do/Last Name

GONO
Mga Pangal an/Given Names
MARY A NN

Gitnang Ape yido/M1dd/e Name

Conf m / PINCA

vy r. Go"o
Student