Republic of the Philippines

PAMANTASAN NG LUNGSOD NG MAYNILA

(University of the City of Manila)
Intramuros, Manila
Telefax No. 526-68-82

PLM 50th FOUNDATION DAY ACTIVITIES

JUNE 19, 2015
11:00am
12:00pm 5:00pm
5:30pm 9:00pm

Unveiling Ceremony of
Dr. Jose P. Rizal Statue
Registration of Students
The Domination
(Students Grand Opening Party)

PLM Field
PLM Field
PLM Tanghalang Bayan & Field

Notes: 1. Attendance to the University activities is equivalent to your attendance in class.

2. NO Parental Consent, NO admission to the Students Grand Opening Party.
PARENTAL CONSENT AND WAIVER

We allow our son/daughter_________________________________________________

with
Student
Number____________________
from
(College)
____________________________
taking up (degree program) _____________________________________________________ to
participate in the The Domination (Students Grand Opening Party) on June 19, 2015,
5:00pm 9:00pm at the PLM Tanghalang Bayan and Field.
By virtue of this consent, we acknowledge that the participation/attendance of our son/daughter
in the abovementioned event is purely voluntary on our/his/her part and for this reason, we are
holding the University, its faculty member/s, employees, officials, and administrators absolutely
free from any liability arising from injuries and damages which our son/daughter may sustain
due to such participation.
In case of emergency:
Name of contact person
Relationship
Contact Number

:
:
:

We dont allow our son / daughter ______________________ to join the event.

____________________________________________
PARENTS SIGNATURE OVER PRINTED NAME

________________
DATE

Note: Not valid without the photocopied parents government issued identification card.