PARENTS CONSENT/PERMIT/WAIVER

This is to certify that I, ____________________________________________________

parents/guardian have given full consent and granted permission to my son/daughter
_________________________________________________to participate in the NSTP-CWTS
Community Outreach Program at the_______________________________ every Sunday from 2:00
PM to 4:30 PM, this second semester 2021-2022.

I voluntarily waive any claim against the UA-TLMC NSTP-CWTS Personnel’s/School

Administration and authorities in-charge for any untoward incidents beyond their control, which
may occur in the course of his/her participation on the said activity, after all precautionary measures
and exhaustive efforts taken by the personnel(s) in charge.

Done in ________________________________ this ________ day of _______________

2022.

____________________________
PARENTS/GUARDIAN
(Signature over Printed name)
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