ARELLANO UNIVERSITY

2600 Legarda St. Sampaloc, Manila

CONSENT FORM

SCHOOL YEAR 2023-2024

I, _______________________________, (parent/guardian) of ___________________ (student’s name),

___________(Age) , a student of Arellano University- Juan Sumulong (campus), do hereby give my
consent, willingly and voluntarily, for the participation of _____________________ (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, always endeavoring 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 for legitimate purposes of the University. I hold
Arellano University, its officers, directors, personnel, free from all liability that may arise from the
participation of ___________________ (student’s name), in said events.

Conforme:

__________________________________________
Parent/Guardian (Signature over printed Name)

___________________________________________
Student (Signature over printed Name)

(Please attach copy of any valid ID of parent/guardian)