JOHN B. LACSON FOUNDATION MARITIME UNIVERSITY-AREVALO, INC.

(Formerly Iloilo Maritime Academy)

Sto. Niño Sur, Arevalo, Iloilo City
Tel.No.: (033) 336-1078 local 211/09275490116
Website: http//:www.jblfmu.edu.ph

SENIOR HIGH SCHOOL

_________________
Date
TO WHOM IT MAY CONCERN:

This is to certify that I ____________________________________ (father/mother/guardian) of

(Name of parent/legal guardian)

___________________________________, a ____________________ student of John B. Lacson

(Name of student) (Grade and Section)

Foundation Maritime University-Arevalo, Inc., has my consent to attend/join the Project Hugpong: Collaborative
Perfoemance Tasks on November 17, 2023 at Puerto Del Mar, Nueva Valencia, Guimaras.

Furthermore, this is to signify my willingness to closely coordinate with the school to check on the
whereabouts of my child.

That I am releasing the school of any responsibility for any and all injuries or loses that may be sustained
by my child’s reckless or non-compliance with the rules and regulations of the school, concerning the activity.

__________________________________ _________________________________
Parent/Legal Guardian’s Signature Student’s Signature
Contact Number: ___________________ Contact Number: ___________________