CSTC COLLEGE OF SCIENCES TECHNOLOGY AND COMMUNICATIONS, INC.

Gen. Luna St., Maharlika Highway, Arellano Subdivision, Sariaya, Quezon

Telefax: 042-6512778 Landline: 042-6512648 Atimonan: 042-5111041 Smart: 0999-7446360 Globe: 0906-2283

WAIVER

I, _____________________________________________, age ___, and residing at

_____________________________________________, renounce and waive every claim against
College of Sciences, Technology and Communications, Inc. (CSTC), School of Business and
Acountancy (SBA) and Accounting Students Society Exemplars of Transparency and Substance
(ASSETS) for any injury that I may sustain, or loss that I may suffer, personal or pecuniary, while
attending the ACCOUNT ANTS: Team Building and Leadership Activity on July 14, 2023, 9:00 a.m.
– 5:00 p.m. which will be held at The Neverland Farm Camping Resort located at Purok 6 Brgy.
Balubal Sariaya, Quezon.
Signed at Sariaya, Quezon, this ___ day of _______________, 2023.

_______________________________
Student’s Signature Over Printed Name

WITNESS:
With this consent and approval of Parents/Guardian:

__________________________________
Signature of Parent/Guardian Above Printed Name