A R E L L A N O U N I V E R S I T Y

OFFICE FOR STUDENT AFFAIRS

2600 Legarda St., Sampaloc, Manila

PARENT/GUARDIAN PERMISSION

Date: _____________

To Whom It May Concern:

THIS IS TO AUTHORIZE AND GRANT PERMISSION to my son/daughter/dependent: MR./MS.

________________________________________, a ____________________(state course and year/grade level and
section) of Arellano University
Elisa Esguerra Campus (state the name of the Department/School/Institute), to join and participate in AU
CONCERT 2023 (state what activity) at ______________________________,
from_______________________________ to ______________________________ (state inclusive time and date of
activity).

I HEREBY CERTIFY THAT I have firmly advised my son/daughter/ward to always act with due diligence, safety,
and care, endeavoring at all times 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.

I HEREBY HOLD THE UNIVERSITY, its officers, teachers, and advisers, free and harmless from any and all
claims caused by fortuitous events or other causes or factors beyond their control.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ________ at the City of
MALABON .

______________________________
PARENT/GUARDIAN
(Signature over Printed Name)

SUBSCRIBE AND SWORN to before me this _____ day of _______________ in the City of Manila, exhibiting to
me his / her ____________________________________________________________.

Doc. No. ___________

Page No. ___________
Book No. __________
Series of __________

 PLEASE ATTACH A COPY OF PARENTS ID WITH (3) HAND WRITTEN SIGNATURES

 AND YOUR STUDENT ID
 MAKE SURE THAT THE SIGNATURE IN PARENTS ID ARE THE SAME TO THE SIGNATURE IN YOUR
FORM
 ARELLANO UNIVERSITY
2600 Legarda St. Sampaloc,
Manila

CONSENT FORM SCHOOL YEAR 2022-2023

I ________________________________________ parent/ guardian

of_______________________________ understand and give consent to a student of Arellano
University- Elisa Esguerra Campus do hereby give my consent, willingly and voluntarily, for
the participation of
___________________________________ , _________________________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, endeavoring at all times 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 any and all liability that may arise from the participation of
_________________________ in said events.

______________________
Parent/Guardian

Conforme:

___________________
Student

 PLEASE ATTACH A COPY OF PARENTS ID WITH (3) HAND WRITTEN SIGNATURES

 AND YOUR STUDENT ID
 MAKE SURE THAT THE SIGNATURE IN PARENTS ID ARE THE SAME TO THE SIGNATURE IN YOUR
FORM