Parental Consent Form

Sir/Madam:

This is to inform you that I give my consent to the attendance and

participation of my son MARK JOHN ROSARIO to join the Circuit racing on
October 29, 2023 at Baywalk Bacolod City.

I have considered the benefits that my son will derive from his participation in
the said activity with understanding that every precaution will be undertaken
to ensure his safety. I shall not hold the staff responsible for any untoward
accident that may happen during the said activity which is beyond their
control.

Contact Details

Name of Child: MARK JOHN ROSARIO

Address: Brgy. 1, Pontevedra, Negros Occidental

Parent’s Mobile Phone No. : 09672543721

BONBON ROSARIO

SIGNATURE OVERPRINTED NAME

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DATE