INTERWORLD ASIAN INSTITUTE, INC.

Poblacion 4, MOncada, Tarlac

Tel. No. (045) 925-7808
GOVERNMENT RECOGNITION NUMBER:
Pre-elementary : E-052, s. 2008
Elementary : E-052, s. 2008
JHS : S-14, s. 2014
SHS : 568 s. 2015

WAIVER
I, _____________________________________________________________________________________________, of legal age , am allowing my
(Parent/Guardian)
son/daughter______________________________________________________________to attend the Film showing “Quezon’s Game”
courtesy of the local Government of Moncada at SM Rosales, Pangasinan on June 29,2019 at 1 pm onwards.

I am aware that the Interworld Asian Institute, Inc. through the advisers will exert maximum efforts to ensure
their safety in the place where they shall hold the activity.

I understand though that their personal safety depends upon their conduct and adherence to the regulations set
by the institution and the management of the school. Whatever untoward incident that may happen to my son/daughter
resulting from his/her negligence and from other circumstances beyond their control, therefore, will not be charged
against Interworld Asian Institute Inc.

With my consent:

_______________________________ ___________________________________
Parent’s/ Guardian’s Student’s
(Signature over printed name ) (Signature over printed name )

INTERWORLD ASIAN INSTITUTE, INC.

Poblacion 4, MOncada, Tarlac
Tel. No. (045) 925-7808
GOVERNMENT RECOGNITION NUMBER:
Pre-elementary : E-052, s. 2008
Elementary : E-052, s. 2008
JHS : S-14, s. 2014
SHS : 568 s. 2015

WAIVER
I, ___________________________________________________________________________________________, of legal age , am allowing my
(Parent/Guardian)
son/daughter____________________________________________________________ to attend the Film showing “Quezon’s Game”
courtesy of the local Government of Moncada at SM Rosales, Pangasinan on June 29,2019 at 1 pm onwards.

I am aware that the Interworld Asian Institute, Inc. through the advisers will exert maximum efforts to ensure
their safety in the place where they shall hold the activity.

I understand though that their personal safety depends upon their conduct and adherence to the regulations
set by the institution and the management of the school. Whatever untoward incident that may happen to my
son/daughter resulting from his/her negligence and from other circumstances beyond their control, therefore, will not be
charged against Interworld Asian Institute Inc.

With my consent:

_______________________________ ___________________________________
Parent’s/ Guardian’s Student’s
(Signature over printed name ) (Signature over printed name )