SCHOOL OF INTERNATIONAL HOSPITALITY AND TOURISM MANAGEMENT

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

Republic of the Philippines)

City of Baguio. . . . . . . . . . )s.s.
x- - - - - - - - - - - - - - - - - - - x

PARENT'S / GUARDIAN'S ATTESTATION, CONSENT

AND DECLARATION OF GOOD HEALTH AND FITNESS TO PARTICIPATE IN THE EDUCATIONAL TOUR

I, __________________________________
IMELDA L. TAMONDONG parent/guardian of ___________________________
JANELLE L. TAMONDONG enrolled in the subject /section ________________
TEDTOUR 2- HBS
(name of Parent Guardian). (name of student) (EDTOUR subject/section)
a ________________________________
BSTM - IT student of the School of IHTM of the University of Baguio, do hereby attest to the following:
(course)

1. I am granting my permission for my child/ward to join the _______________________________________________________________

SUBIC WITH YACHT TOUR
(educational tour / activity title)
2. I have attended the Consultation and Orientation conducted by the School of IHTM wherein all the requirements, guidelines, policies and
procedures were clearly explained and presented.
3. I am aware that there are options offered which are cheaper in cost, yet the same competencies will be acquired by my child / ward;
however, I opted to endorse my child / ward to still participate in the _______________________________________________________.
SUBIC WITH YACHT TOUR
(educational tour / activity title)
4. I understand that the University of Baguio has made the necessary coordination, preparation and arrangement with service providers prior
to the educational tour activity, including all the requirements needed to be complied with, thus I am aware of the said requirements that my
child/ward needs to submit.
5. I attest that my child/ward is of good health and fit to join the educational tour specifically declaring the following:
YES NO
5.1. Is your child/ward in good health at present? 
5.2. Did your child/ward suffer from any illness/disease requiring treatment for a week or more?
If yes, please attach a medical clearance from your physician (attested by the University physician) stating
that you are fit to join the educational tour / off-campus program
5.3. Did your child/ward have had any operation, accident or injury? 
If yes, please attach a medical clearance from your physician (attested by the University physician) stating
that you are fit to join the educational tour / off-campus program
5.4. Did your child/ward have a heart condition, a stroke, hypertension, paralysis, cancer, diabetes, kidney 
failure, liver failure, mental illness, HIV infection or AIDS?
If yes, please attach a medical clearance from your physician (attested by the University physician) stating
that you are fit to join the educational tour / off-campus program.
5.5. For females only: 
Is your child/ward pregnant?
If yes, please attach a medical clearance from your physician (attested by the University physician) stating
that you are fit to join the educational tour / off-campus program.

6. I undertake the responsibility of instructing my child/ward to always comply with and follow the rules of the University of Baguio, the School
of IHTM and the service providers which are relevant for the effective and safe implementation of the educational tour program.

__________________________
10/04/2023 ________________________________________________
(Date signed) Signature of Parent/Guardian over printed Name

________________________________
09954094930
(Contact Number of Parent/Guardian)
ID Presented: ______________________
PASSPORT
Date and Place of issue:_____________
09/16/2021- DFA La Union
Expiration Date:____________________
09/15/2031

SUBSCRIBED AND SWORN to before me this ______day of _____________ in the City of Baguio, Philippines, by the above-named
Affiant, who is identified by me through competent evidence of identity described below his/her name and signature.

Doc. No.:__________;
Page No.:__________;
Book No.:__________;
Series of ___________.