WAIVER FORM

I, Gennelyn L. Israel , from BSECE 4-1 , hereby acknowledge

and accept full responsibility for my actions during practices involving the development of
concepts, choreography, and any other activities related to the PUP ECERA Dance Fest:
ECEyaw Mo 2023 event. I understand and agree that neither the Electronics Engineering
Students' Society nor the PUP ECERA Dance Fest 2023 committee shall be held liable for any
consequences arising from my actions during the event.

By signing this document, I willingly and voluntarily waive any claims against the PUP
Electronics Engineering Students' Society and the PUP ECERA Dance Battle 2023 committee
in the event of any undesirable incidents. I fully comprehend that I am solely responsible for my
own conduct and actions.

Moreover, I grant full authority to the PUP ECERA Dance Battle 2023 committee to
exercise their rights and take legal measures if circumstances arise that are beyond their control
and require intervention.

GENNELYN L. ISRAEL June 23, 2023

(SIGNATURE OVER PRINTED NAME) DATE SIGNED