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    The document is a waiver form for a regional mid-year convention being held by the National Federation - Junior Philippine Institute of Accountants in Region One and Cordillera Administrative Region from October 1-3, 2018. The waiver releases the organizers from liability for any claims arising from participation in the event and authorizes medical treatment if needed. It requests emergency contact and medical information for attending students.

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    The document is a waiver form for a regional mid-year convention being held by the National Federation - Junior Philippine Institute of Accountants in Region One and Cordillera Administrative Region from October 1-3, 2018. The waiver releases the organizers from liability for any claims arising from participation in the event and authorizes medical treatment if needed. It requests emergency contact and medical information for attending students.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views1 page

    Wild Pokémon Locations

    Uploaded by

    arianas
    The document is a waiver form for a regional mid-year convention being held by the National Federation - Junior Philippine Institute of Accountants in Region One and Cordillera Administrative Region from October 1-3, 2018. The waiver releases the organizers from liability for any claims arising from participation in the event and authorizes medical treatment if needed. It requests emergency contact and medical information for attending students.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    National Federation - Junior Philippine Institute of Accountants

    Region One and Cordillera Administrative Region


    17th REGIONAL MID-YEAR CONVENTION
    October 1 to 3, 2018 |
    Holiday Inn City Center, Legarda Road (Main venue) and Venus ParkView Hotel, 19 Kisad Road, Burnham Park, 2600, Baguio City
    Theme: ALOHOMORA: Spectrum of Opportunities. Building Connections. Together, we excel towards tomorrow

    WAIVER

    NAME: ____________________________________________________________________________________________
    UNIVERSITY/YEAR/COURSE: __________________________________________________________________
    EMERGENCY INFORMATION:
    CONTACT PERSON 1:_____________________________________ CONTACT #: _______________________
    CONTACT PERSON 2:_____________________________________ CONTACT #: _______________________
    MEDICAL INFORMATION:
    List all the ailments your child suffers from:
    _____________________________________________________________________________________________________
    List any medication your child might need:
    _____________________________________________________________________________________________________
    Indicate any allergies with certain medication:
    ____________________________________________________________________________________________________

    I take responsibility for my child’s whereabouts after this activity. I agree to waive release,
    guarantee and hold harmless the NFJPIA-Region I and CAR, its officers, advisers, members, and
    all the organizers of this event from any claims of liability arising out of my child’s participation in
    this activity. I also agree to waive that NFJPIA-Region I and CAR, its officers, advisers, members
    and all organizers of this event has responsibility to my child only within the grounds of the venue.
    Should my child require medical attention as result of accident or serious illness, I do
    hereby grant and bequeath upon the organizers of this event permission and authority for and
    on my behalf to authorize any licensed medical practitioner to render medical aid and treatment.

    CONFORME: _________________________________________________________ _______________

    SIGNATURE OVER NAME / DATE

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