SAINT LOUIS SCHOOL

PAASCU ACCREDITED
Solano, Nueva Vizcaya
Telefax # (078) 326 –7458
e-mail: saintlouisschoolofsolano@yahoo.com

PARENTAL CONSENT AND WAIVER FORM

I, ________________________________________, grant permission for my son/daughter

______________________________________ to participate in the _______________________
________________________________________ on __________________________ to be held at
______________________________________.

I, as a parent and/or legal guardian have considered the benefits that my son/daughter will derive from
his/her participation in the said activity. I shall not hold any of the teachers or the administrators of Saint
Louis School responsible for any untoward incident that may happen beyond their control.

I remain legally responsible for any personal action taken by my child in the duration of the activity.

______________________________________
Parent/Guardian’s Signature over printed name

Home Address: _____________________________

Contact Number: _____________________________
Date: _____________________________

SAINT LOUIS SCHOOL

PAASCU ACCREDITED
Solano, Nueva Vizcaya
Telefax # (078) 326 –7458
e-mail: saintlouisschoolofsolano@yahoo.com

PARENTAL CONSENT AND WAIVER FORM

I, ________________________________________, grant permission for my son/daughter

______________________________________ to participate in the _______________________
________________________________________ on __________________________ to be held at
______________________________________.

I, as a parent and/or legal guardian have considered the benefits that my son/daughter will derive from
his/her participation in the said activity. I shall not hold any of the teachers or the administrators of Saint
Louis School responsible for any untoward incident that may happen beyond their control.

I remain legally responsible for any personal action taken by my child in the duration of the activity.

______________________________________
Parent/Guardian’s Signature over printed name

Home Address: _____________________________

Contact Number: _____________________________
Date: _____________________________