Republic of the Philippines

Department of Education
REGION VIII (Eastern Visayas)
___________________
(Division)
____________________________
(District)
______________________________________
(School)

PARENTAL WAIVER

I, ____________________________________________________, parent/guardian of
_____________________________________ , will renounce and waive any claim against the coaches and
other DepEd personnel for any injury and other physical and psychological effect due to uncontrollable
accidents and uncertainties that my child will sustain while participating in all School Sports Meet up to
Palarong Pambansa.

Further, I understand that in every activity, due care, diligence and necessary precautions are on
the primary priorities of the DepEd personnel in ensuring my child’s health and safety.

Signed this ___________ day of ___________, 2023.

Very Truly Yours,

________________________________
Name and Signature of Parent/Guardian

Attested by:

_________________________________
School Head