I, _____________________________, Filipino, of legal age and with address at _________________________________,

(name of parent/guardian) (home address)

Hereby declare and affirm that:

1. I am the parent/guardian of __________________________________ (hereinafter “Child/Ward”), who is under my care and responsibility.
2. I confirm that my child/ward participated in the Nestlé Wellness Campus Hataw: The School Sayaw Showdown and has appeared in the official
documentations of said event which is a school-sanctioned activity by (Emilia L. Malabanan Integrated School) in partnership with Nestlé Philippines,
Inc. (“NPI”).
3. I hereby give my consent and authority to NPI to use the photos of my child/ward in broadcast and print media, videotapes, etc. without any
monetary consideration.
4. On behalf of my Child/Ward, I shall hold NPI and Organizer free and harmless from any and all claims arising from any damage, injury, or harm that I
or my Child/Ward may suffer in connection with this matter.

I hereby declare that I have executed this document knowingly, willingly, freely and voluntarily.

Signed this _____ day of _______________ 2023 at ____________________.

________________________________________
Printed Name & Signature of Parent/Guardian

I, _____________________________, Filipino, of legal age and with address at _________________________________,

(name of parent/guardian) (home address)

Hereby declare and affirm that:

5. I am the parent/guardian of __________________________________ (hereinafter “Child/Ward”), who is under my care and responsibility.
6. I confirm that my child/ward participated in the Nestlé Wellness Campus Hataw: The School Sayaw Showdown and has appeared in the official
documentations of said event which is a school-sanctioned activity by (Emilia L. Malabanan Integrated School) in partnership with Nestlé Philippines,
Inc. (“NPI”).
7. I hereby give my consent and authority to NPI to use the photos of my child/ward in broadcast and print media, videotapes, etc. without any
monetary consideration.
8. On behalf of my Child/Ward, I shall hold NPI and Organizer free and harmless from any and all claims arising from any damage, injury, or harm that I
or my Child/Ward may suffer in connection with this matter.

I hereby declare that I have executed this document knowingly, willingly, freely and voluntarily.

Signed this _____ day of _______________ 2023 at ____________________.

________________________________________
Printed Name & Signature of Parent/Guardian

I, _____________________________, Filipino, of legal age and with address at _________________________________,

(name of parent/guardian) (home address)

Hereby declare and affirm that:

9. I am the parent/guardian of __________________________________ (hereinafter “Child/Ward”), who is under my care and responsibility.
10. I confirm that my child/ward participated in the Nestlé Wellness Campus Hataw: The School Sayaw Showdown and has appeared in the official
documentations of said event which is a school-sanctioned activity by (Emilia L. Malabanan Integrated School) in partnership with Nestlé Philippines,
Inc. (“NPI”).
11. I hereby give my consent and authority to NPI to use the photos of my child/ward in broadcast and print media, videotapes, etc. without any
monetary consideration.
12. On behalf of my Child/Ward, I shall hold NPI and Organizer free and harmless from any and all claims arising from any damage, injury, or harm that I
or my Child/Ward may suffer in connection with this matter.

I hereby declare that I have executed this document knowingly, willingly, freely and voluntarily.

Signed this _____ day of _______________ 2023 at ____________________.

________________________________________
Printed Name & Signature of Parent/Guardian

I, _____________________________, Filipino, of legal age and with address at _________________________________,

(name of parent/guardian) (home address)

Hereby declare and affirm that:

13. I am the parent/guardian of __________________________________ (hereinafter “Child/Ward”), who is under my care and responsibility.
14. I confirm that my child/ward participated in the Nestlé Wellness Campus Hataw: The School Sayaw Showdown and has appeared in the official
documentations of said event which is a school-sanctioned activity by (Emilia L. Malabanan Integrated School) in partnership with Nestlé Philippines,
Inc. (“NPI”).
15. I hereby give my consent and authority to NPI to use the photos of my child/ward in broadcast and print media, videotapes, etc. without any
monetary consideration.
16. On behalf of my Child/Ward, I shall hold NPI and Organizer free and harmless from any and all claims arising from any damage, injury, or harm that I
or my Child/Ward may suffer in connection with this matter.

I hereby declare that I have executed this document knowingly, willingly, freely and voluntarily.

Signed this _____ day of _______________ 2023 at ____________________.

________________________________________
Printed Name & Signature of Parent/Guardian