Barangay Waiver

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Republic of the Philippines

Province of Camarines Sur


Municipality of Bato
BARANGAY SAN MIGUEL

PARENTS / GUARDIAN COPY

I ________________________________________ the parent/guardian of


____________________________ , permit my child/ward to join the aforementioned
activity without hesitation and abide with the rules set by the Barangay Council, regarding
___________________________________ activity, any unexpected accident happen on
my child/ward, I relieve the Barangay Councils/Barangay Hall of any responsibility.

Thank you.
_____________________________
(Signature over Printed Name)

Approved by:

HON. ROBERTO C. QUITE


Punong Barangay

Republic of the Philippines


Province of Camarines Sur
Municipality of Bato
BARANGAY SAN MIGUEL

PARENTS / GUARDIAN COPY

I ________________________________________ the parent/guardian of


____________________________ , permit my child/ward to join the aforementioned
activity without hesitation and abide with the rules set by the Barangay Council, regarding
___________________________________ activity, any unexpected accident happen on
my child/ward, I relieve the Barangay Councils/Barangay Hall of any responsibility.

Thank you.

_____________________________
(Signature over Printed Name)

Approved by:

HON. ROBERTO C. QUITE


Punong Barangay

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