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    Parents' Permission and Waiver: Isabela State University

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    Jehan OnWheels
    This document is a parents' permission waiver form for a nursing student to conduct community immersion and hospital duty as part of her Related Learning Experience program. The parents, Mr. and Mrs. Augusto S. Mayo, give their permission for their daughter Sheila E. Mayo to do her immersion and duty at Anafunan, Echague, Isabela on the dates specified in her schedule. The parents also hold the Isabela State University, its officers, coordinators, and faculty harmless from any damages or liabilities that may arise from the activity. The parents signed and the form was notarized.

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    Parents' Permission and Waiver: Isabela State University

    Uploaded by

    Jehan OnWheels
    10 views1 page
    This document is a parents' permission waiver form for a nursing student to conduct community immersion and hospital duty as part of her Related Learning Experience program. The parents, Mr. and Mrs. Augusto S. Mayo, give their permission for their daughter Sheila E. Mayo to do her immersion and duty at Anafunan, Echague, Isabela on the dates specified in her schedule. The parents also hold the Isabela State University, its officers, coordinators, and faculty harmless from any damages or liabilities that may arise from the activity. The parents signed and the form was notarized.

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    Original Title

    RLE Waiver

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    This document is a parents' permission waiver form for a nursing student to conduct community immersion and hospital duty as part of her Related Learning Experience program. The parents, Mr. and Mrs. Augusto S. Mayo, give their permission for their daughter Sheila E. Mayo to do her immersion and duty at Anafunan, Echague, Isabela on the dates specified in her schedule. The parents also hold the Isabela State University, its officers, coordinators, and faculty harmless from any damages or liabilities that may arise from the activity. The parents signed and the form was notarized.

    Copyright:

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

    Parents' Permission and Waiver: Isabela State University

    Uploaded by

    Jehan OnWheels
    This document is a parents' permission waiver form for a nursing student to conduct community immersion and hospital duty as part of her Related Learning Experience program. The parents, Mr. and Mrs. Augusto S. Mayo, give their permission for their daughter Sheila E. Mayo to do her immersion and duty at Anafunan, Echague, Isabela on the dates specified in her schedule. The parents also hold the Isabela State University, its officers, coordinators, and faculty harmless from any damages or liabilities that may arise from the activity. The parents signed and the form was notarized.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    ISABELA STATE UNIVERSITY


    Echague, Isabela

    COLLEGE OF NURSING

    Parents’ Permission and Waiver

    We, Mr. and Mrs. AUGUSTO S. MAYO ,


    parents of SHIELA E. MAYO grant our permission to our child to conduct
    community immersion/hospital duty at ANAFUNAN, ECHAGUE, ISABELA for
    _FIRST semester SY 2019-2020 on days stipulated in their schedule (please refer to attached
    schedule) as part of their Related Learning Experience (RLE) program. In the unlikely event
    that the damages and/or liabilities of whatever nature may arise in connection with the
    activity, we hold the University, its officers, coordinators and faculty free and harmless of any
    damages and liabilities.

    Printed Name and Signature of Father Printed Name and Signature of Mother

    REPUBLIC OF THE PHILIPPINES )


    Province of Isabela ) S. C.
    Municipality of ECHAGUE )

    th
    SUBSCRIBED AND SWORN TO before me this day of , 20__
    at San Fabian, Echague, Isabela, affiants exhibited to me their Identification No. as
    competent evidence of their identity.

    Doc No. NOTARY PUBLIC


    Page No.
    Book No.

    Series of 20__

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