PARENTAL WAIVER & CONSENT

I/We, the undersigned, as the parent/Guardian of __________________________________,

do hereby give my full consent and approval for my child to participate in:

Title of activity: AR 246 ARCHITECTURAL INTERIORS – ASSEMBLY

Nature of activity: ARCHITECTURAL DESIGN-SPACE EXPERIENCE
Date of activity: MARCH 29, 2024 (FRIDAY)/ ________________________
Time of Activity: 6:30 PM – 7:30 PM/ _______________________________
Venue/Address of Activity: ASSEMBLY BUILDING, RIZAL ST., ILOILO CITY/
________________________________________________
Staff-in-charge: AR. GEMAR F. EMMANUEL

It is expected that this activity will exercise due diligence required with utmost abiding
rules/regulation for the safety and well-being of my child so that this activity will be beneficial to
his/her education, future career, and practice.

Therefore, I do hereby voluntarily waive any liability against the concerned event/
persons/ authorities and school of whatever nature, be it civil, criminal or administrative for any
untoward incident/ risk befall our son/daughter in the course of his/her participation and during
his/her travel to and from the said event.

I/We fully understand and acknowledge the circumstances of joining and attending the event.

___________________________________________
Parent’s/Guardian’s Name and Signature, and Date

_____________________________________
Student’s Name and Signature, and Date

HEALTH INFORMATION AND EMERGENCY CONTACT INFORMATION

Emergency Contact (name and phone):

Please list any medical conditions that we should be aware of:

NOTE: Any forgery on the Parental Waiver & Consent and is considered very serious offense as
stipulated in the Student’s College Handbook and may result to expulsion.

*Kindly submit this WAIVER & CONSENT on class schedule within the week of March 25-27, 2024*

*NOTHING FOLLOWS*

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