______________________

Date

Dear _________________________________,

We, the Immaculate Conception Choir of Our Lady of the Immaculate Conception Sub-parish, will
be having our annual summer outing this coming April 7, Saturday, at Caribbean Waterpark Resort,
Sitio Abo, Brgy. Pulong Sampaloc, Doña Remedios Trinidad, Bulacan. Other details are as follow:

Entrance fee: Php 250 (day swimming of 8 a.m. – 5 p.m.)

Call time: 4:30 A.M.
Departure time: 5:00 A.M.
Food contribution: Group assigned
Transportation: Sponsored

This activity is in part of the members on-going formation: personal, social, and spiritual. Through this,
each member will have a chance to experience fellowship and interaction with other people of different
group (age, gender, attitude, etc.)

We understand that participation in outside activities like this can involve risk of physical injury, illness,
or property loss, and despite safety precautions, we cannot guarantee safety thereof, as all risks cannot be
prevented. However, we can initially prevent such risks by filling-up the form attached here to identify
the things that should be prevented and how to prevent it.

Thank you for your cooperation and utmost understanding on this activity.

Yours truly,

Joan T. Rama
Choir Coordinator

Noted by:

Camilo Ordoña
Sub-parish Coordinator

Rev. Fr. Albert B. Monares, Jr.

Parish Priest
 Permission Form Waiver

I, _______________________, the parent/guardian of ________________________ (name of member),

give permission for him/her to attend the ICChoir Annual Summer Outing.

I understand that personal injury can and may occur to the said member, and I hereby authorize Ms. Joan
T. Rama, ICChoir Coordinator, or another appointed choir member of senior level, to seek and consent
to emergency medical attention for the said member as needed.

I hereby release the Immaculate Conception Choir, and further Our Lady of the Immaculate
Conception Sub-parish, and its volunteers, from any and all liability, claims, demands, causes of action,
and possible causes of action whatsoever arising out of or related to any loss, damage, or injury that may
be taken by the said member while participating in or traveling to and from this activity.

The following are all of the restriction, allergy, and medication information necessary for the said member
to receive appropriate medical care.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

I give permission for the said member to ride in any vehicle designated by the Immaculate Conception
Choir, its members and adult volunteers, while participating in and traveling to and from this activity.

I agree to accept full responsibility, financially or otherwise, for any damage the said member may do to
the property of the Immaculate Conception Choir, properties visited on outing, other person’s personal
property, or vehicles used for transportation.

I agree and consent to all of the above stated.

_____________________________________ ________________________
(Parent/Guardian’s Name and Signature) (Date Signed)
_______________________________________________________________
(Emergency Contact Name, Relationship, and Phone Number)

NOTE: Kindly fill-up all items and return as soon as possible to the coordinator.