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South East Asian Institute of Technology, Inc.

NATIONAL HIGHWAY, BRGY. CROSSING RUBBER, TUPI, SOUTH COTABATO


Tel. No. (083) 226-1202 EMAIL ADDRESS: seaitinc@yahoo.com

PARENTS CONSENT

Name of student: ______________________________

Address : __________________________________________________________

Cellphone Number: ____________________

Age: _____ Gender: ____ Health Limitation:____________________________

Person to be contacted in case of emergency:______________________________________

Address: ________________________________________

Relationship: _________________________________

Cell No.: __________________________

This is to inform you that I gave my consent to the attendance and participation of my

son/daughter _________________________ to attend Clean-Up Drive on ___________________, at

Baranggay _____________________.

I have considered the benefits that my son/daughter will get from his/her participation in the
activity, with the understanding that due care and precaution will be observed to ensure the control
and safety of the participants and that the school will not be held responsible for any untoward
incident that may happen beyond their control.

___________________________
Name and Signature of Participant

______________________________________
Signature of Parent/Guardian over Printed Name

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