Dear Parent/Guardian:

The Baliwag Polytechnic College - Benevolent League of Athletic and Sportive Tertiary Students
(BTechBLASTS) is a dynamic organization dedicated to fostering sports skills, camaraderie, and athletic
excellence among tertiary students. We are conducting Volleyball tryouts and team selection on Thursday,
December 2, 2023, from 12:00 PM to 5:00 PM at the VCS Sports Center Tibag , Baliwag, Bulacan.

Please find below a consent letter and additional medical information that are required for your child's
participation. By signing this letter, you are granting permission for your child to participate.

Thank you.

Consent Letter
Liham Pahintulot

I give fully consent for my child, __________________________________________________,

Binibigyan ko ng buong pahintulot ang aking anak na si, (Student’s Name/Pangalan ng Mag-aaral)

_______________________ to participate in the Volleyball tryouts and team selection.

(Course, Year and Section/ Kurso, Taon, at Seksyon) upang lumahok sa mga Volleyball tryouts and team selection.
I fully understand that BTECH staff, its employees and the Benevolent League of Athletic
and Sportive Tertiary Students
Lubos kong nauunawaan na ang mga kawani ng BTECH, mga empleyado nito, at ang Benevolent League of Athletic
and Sportive Tertiary Students
is not accountable in any mishap/accident occur during the conduct of such ay hindi
mananagot sa anumang sakuna at aksidente na maaaring maganap habang isinasagawa
activities.
ang naturang aktibidad.
By my signature on this document, I agree to the terms written above.

Sa pamamagitan ng aking lagda sa dokumentong ito, ako ay sumasang-ayon sa mga tuntuning nakasulat sa itaas.

__________________________________________________ PARENT/GUARDIAN
SIGNATURE OVER PRINTED NAME

______________________________
DATE

ADDITIONAL MEDICAL INFORMATION

Baliwag Polytechnic College - Benevolent League of Athletic and Sportive Tertiary Students
(BTechBLASTS) has collected medical information about your child. This information is stored safely and
privately. Please give full details of any new or updated medical information that may affect your child’s
full participation in the activity described in the form.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________