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ARCHDIOCESAN YOUTH CITY 2023

I hereby permit my son/daughter __________________________________________ to attend


the YOUTH CITY 2023 on December 29 (Friday) – 30 (Saturday), 2023, at Capiz
Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800

I hereby free all organizers from any liability whatsoever for any accident or injury which may
fall on me during the said activity due to negligence.

This permission is given voluntarily and of my free will on this ___ day of December 2023, at
______________________________________.

_________________________________________________
Parent’s/Guardian’s Signature over Printed Name

ARCHDIOCESAN YOUTH CITY 2023

I hereby permit my son/daughter __________________________________________ to attend


the YOUTH CITY 2023 on December 29 (Friday) – 30 (Saturday), 2023, at Capiz
Gymnasium, Villareal Stadium, Roxas City, Capiz, 5800

I hereby free all organizers from any liability whatsoever for any accident or injury which may
fall on me during the said activity due to negligence.

This permission is given voluntarily and of my free will on this ___ day of December 2023, at
______________________________________.

_________________________________________________
Parent’s/Guardian’s Signature over Printed Name

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