Bicol University

Legazpi City

PARENT’S/GUARDIAN’S PERMIT AND WAIVER FOR IN-PERSON CLASSES

(Undergraduate Students)

I/we, parent (s)/guardian(s) of ________________________________,

Arango, Daniel Angelo E 20
______
Surname, Given Name MI Age

years old, a _______

Level 2 student of BS Nursing
______________________________, of the
Year level Course
College of Nursing
______________________________________________ has my/our permission to
College/Campus
participate in the in-person classes for blended learning of Bicol University, starting this SY

2022-2023.

This certifies further that I/we is/are aware of the risks involved in the conduct of the in-
person face-to-face classes and the health and safety protocols instituted by the college to
minimize the risks of COVID-19.

Signature
Name Jocelyn E. Arango
Relationship: Mother
Contact No/s: 09095417509
Address Magallanes, Sorsogon
BU-F-VPAA-25-A Revision No. 0
Effective Date: 22 July 2022