UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
Philippines
PARENT’S/ GUARDIAN’S ACKNOWLEDGEMENT

I / We, the parent(s) / guardian of ____________________________, a student of the

Department of Civil Engineering, College of Engineering and Information Technology,
hereby acknowledge that I am / we are fully aware that the required
______________________________ to be undertaken by my/our son/daughter/ward is
an integral part of the academic work leading to the completion of his/her program
leading to the degree of Bachelor of Science in Civil Engineering offered by the College.

Furthermore, I / we acknowledge the following:

That every co-curricular activity that my son/daughter/ward participates in

involves risk or risks which are beyond the control of the College / University;

That I / we fully believe that the management of the College / University leaves
no unturned stone to promote and safeguard the welfare and safety of my/our
son/daughter/ward, most especially during off-campus co-curricular activities, like this
_______________________ and;

That in case of any untoward incident that may possibly happen during the
conduct of the tour due to circumstances beyond the control of the Plant Visit Tour/or
Faculty chaperone(s), in particular and the University, in general, I / we shall not hold
them liable nor file a complaint against them.

___________________________
Signature Over Printed
Name
PARENTS/GUARDIAN

USM-DIO-F17-Rev.0.2022.12.07