New Era University

JOTA-JOTI

Department ___________________
Date: ________________________

Dear Sir/Madam:

The undersigned wishes to inform you that your child/ward _________________________________________

together with his/her classmates will undertake an In-campus activity, Jamboree on the Air and Jamboree on the
Internet (JOTA-JOTI) on _______________ at______________________________________________. The
purpose of the activity is to promote camaraderie while learning new skills. Their learning experience will
foster social skills development as well as physical and mental wellness.
In view of this, we wish to obtain your consent for him/her to join this activity by signing the waiver below.
Thank you.

Truly yours,
_________________________
Teacher/Instructor
_________________________________________________________________________________________

CONSENT
We/I, _____________________________, parents/guardians of Integrated School College Student, of
____________________________, Year & Section ______________________ Hereby affix our signature as a
proof of our/my consent to our/my child’s joining the __________________________________________ in
_________________________________
We/ I hereby hold free and harmless New Era University, BSP leadership and any of its officers, teachers and
staff in the event of any accident, injury, sickness that may befall our/my child in the course of this activity
knowing that the school shall and will exercise extraordinary diligence.

Signed this ____ of ____________, ____________ in _________________________________

______________________________
Relation Signature over printed name
______________________________________________________________________________
SUBSCRIBED AND SWORN to before me, this ____________, by ____________ who exhibited to me
(his/her) competent proof of identification _____________________ issued at ____________________,
Philippines on ______________________.

Notary Public
Doc. No. ____________;
Page No. ____________;
Book No. ___________;
Series of ____________;