CONSENT, ASSUMPTION OF RISK, and WAIVER OF LIABILITY

I, ___________________________ (parent/guardian) am giving my consent to

allow my child/ward, _______________________, to be part of the limited face-
to-face classes, as defined and regulated by Joint Memorandum Circular No.
2021-01-20 of the Commission on Higher Education (CHED) and Department of
Health (DOH) and as prescribed by Foundation University's (the University's)
guidelines and policies concerning the reopening of classes for limited face-to-
face classes.

I acknowledge that COVID-19 has been declared as a global pandemic by the

World Health Organization (WHO), hence, the same is extremely contagious and
is believed to spread mainly by person-to-person contact. By signing this
instrument, I acknowledge that my child/ward may be exposed or infected by
COVID-19 by participating in the said limited face-to-face classes and that such
exposure or infection may result in personal injury, illness, permanent disability,
or even death.

I, therefore, voluntarily agree to assume all of the foregoing risks and accept sole
responsibility for any injury or illness to my child/ward, damage, loss, claim,
liability, or expense, of any kind, that he/she may experience or incur in
connection with his/her participation in the limited face-to-face classes.

I hereby release, discharge, and hold harmless the University, its officers,
employees, agents, and representatives, from said claims, including all liabilities,
claims, actions, damages, costs or expenses of any kind arising out of or relating
thereto. I understand and agree that this release includes any claims based on
the actions, omissions, or negligence of the University, its employees, agents,
and representatives, whether a COVID-19 infection occurs before, during, or
after participation in the limited face-to-face classes.

_________________________ __________
Signature Over Printed Name Date