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  • BRAINIAC FORM No. 2 Consent Form

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    Lara Mae Buragay
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    BRAINIAC FORM No. 2 consent form

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    21 views1 page

    BRAINIAC FORM No. 2 Consent Form

    Uploaded by

    Lara Mae Buragay

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CONSENT FORM

    BRAINIAC FORM No. 2

    CONSENT AND WAIVER

    TO WHOM IT MAY CONCERN

    I/We am/are allowing our son/daughter/ward ____________________________________,


    who is currently enrolled at __________________________________________________,
    to join and participate in the Brainiac: Clash of the Sci-Tech Champs Inter-School Quiz
    Bowl and Robotics Competition, which will be held on the following dates:

    CLUSTER DATE & TIME LOCATION


    CAMANAVA Saturday, 3 February 2024 Valenzuela Mathematics and
    (Caloocan, Malabon, (7 AM – 5 PM) Science High School
    Valenzuela, Navotas)
    MUNTAPARLAS Saturday, 3 February 2024 Makati Science High School
    (Muntinlupa, Taguig, Pateros, (7 AM – 5 PM)
    Parañaque, Las Piñas)
    PAMAMARISAN Saturday, 10 February 2024 Mandaluyong College of
    (Pasig, Mandaluyong, (7 AM – 5 PM) Science and Technology
    Marikina, San Juan)
    PAMAMAZON Saturday, 10 February 2024 Pasay City East High School
    (Pasay, Makati, Manila, (7 AM – 5 PM)
    Quezon City)
    FINALS Saturday, 16 March 2024 Philippine Science High
    (7 AM – 5 PM) School

    I am also giving consent to Our Lady of Lourdes Hospital to document my


    son/daughter/ward during the competition for promotional purposes. Together with my
    child, we are certain that the organizer will exercise diligence to ensure the safety and well-
    being of my/our child for the duration of the activity.

    ______________________________________________
    (Parent’s/Guardian’s signature over printed name)

    Date: _________________________________________
    Government issued ID: ___________________________
    ID number: ____________________________________

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