I, _____________________________, Filipino, of legal age and with address at _________________________________,

(name of parent/guardian) (home address)

Hereby declare and affirm that:

1. I am the parent/guardian of ___________________ (hereinafter “Child/Ward”), who is under my care and responsibility.

2. I confirm that my child/ward participated in the Nestlé Wellness Campus Sarap Sustansya Cook-Off and has appeared in the official documentations of said event which is
a school-sanctioned activity by (Name of School) in partnership with Nestlé Philippines, Inc. (“NPI”).

3. I hereby give my consent and authority to NPI to use the photos of my child/ward in broadcast and print media, videotapes, etc. without any monetary consideration.

4. On behalf of my Child/Ward, I shall hold NPI and Organizer free and harmless from any and all claims arising from any damage, injury, or harm that I or my Child/Ward may
suffer in connection with this matter.

I hereby declare that I have executed this document knowingly, willingly, freely and voluntarily.

Signed this _____ day of _______________ 2023 at ____________________.

________________________________________
Printed Name & Signature of Parent/Guardian