FM-SWS-11

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STUDENT AFFAIRS AND SERVICES OFFICE

STUDENT’S WAIVER

______________________
Date

The President
This University

Sir:
Please be informed that I am permitting (Name of Student) __________________________ (Program
and Year) ____________________________ to attend the Social Entrepreneurship Extension Program on
December 11, 2023 at Akliyang Elementary School.

I am aware that there are faculty members who will accompany and take all the necessary precautions
to keep them safe. However, given all the reminders and protection, untoward incident beyond control may
happen and I assume full responsibility for allowing my son/daughter ______________ to join the
aforementioned activity.

Very truly yours,

___________________________
Signature over Printed name of Parent/Guardian

STUDENT’S WAIVER

______________________
Date
To whom it may concern:

This is to certify that I am voluntarily joining/participating/attending to the Social Entrepreneurship

Extension Program, on December 11, 2023, which will be held in Akliyang Elementary School. I also declare
that neither MINSU nor its officials should be held responsible for any untoward incident that may happen
during the activity.

______________________________________
Signature over Printed Name of Student
Noted:

______________________________________
Signature over Printed Name of Adviser
Acknowledged:

MADONNA P. MELCHOR, Ph.D.

Coordinator, Student Affairs and Services
 STUDENT AFFAIRS AND SERVICES OFFICE

PARENTS' CONSENT FORMAT – handwritten

(Petsa)

SA KINAUUKULAN:

Kami sina G. at Gng. _____________________________________________________, taga

________________________________________________ ay pinahihintulutan an gaming anak na si

________________________________ (kurso) na dumalo at makilahok sa __________________

_______________________ na gaganapin sa ____________________________________________

Ika- ______________ sapagkat kami ay naniniwala na makatutulong ang nasabing Gawain / programa sa

pagpapalawak ng kaniyang kaalaman at pagpapaunlad ng kaniyang katauhan.

Ang pagsang-ayon naming ito ay nangangahulugan na ang pamunuan ng paaralan, mga guro at

kawani ay hindi naming pananagutin sa anumang ‘di inaasahang pangyayari na maaring maganap bago at

pagkatapos ng nasabing gawain / programa.

Lubos na gumagalang,

_____________________________
(Pangalan at Lagda ng Magulang)