Republic of the Philippines

Department of
Education
Region II – Cagayan Valley
Schools Division
PARENT CONSENT AND
WAIVER
I,
_________________________
___, as the parent or legal
guardian of
_________________
hereby acknowledge that I
have been informed of the
details of the conduct of
Implementation of Limited
Face to Face learning modality
Republic of the Philippines
Department of
Education
Region II – Cagayan Valley
Schools Division
PARENT CONSENT AND
WAIVER
I,
_________________________
___, as the parent or legal
guardian of
_________________
hereby acknowledge that I
have been informed of the
details of the conduct of
Implementation of Limited
Face to Face learning modality
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
Catarman, Northern Samar

COLLEGE OF EDUCATION

PARENT’S CONSENT AND WAIVER

I, ___________________________________ do hereby permit my son/daughter

_________________________________ of legal age, and a student of the
College of Education, University of Eastern Philippines main campus, taking up
(Course & Year) ______________________________________ to undergo Field
Study which is one of the course requirements of the University.

I acknowledge that my child in persons attendance in school will include associating

with teachers, fellow learners and school personnel, and other persons inside and
outside that may put my child at risk of COVID 19 transmission, notwithstanding the
precautions undertaken by the school.

I acknowledge that my child participation in this activity is completely voluntary.

While there remains the risk of possible COVID 19 transmissions to my child/dren,
and to the members of my household, I freely assume the said risk and I permit my
child/dren to attend the school under this activity.

I am aware of the symptoms of COVID 19 include but not limited to, fever or chills,
cough, shortness of breath or difficulty of breathing, body and head ache, loss of
taste and smell, sore throat, congestion, nausea, vomiting and diarrhea. I, with my
household members, will follow the required health and safety protocols and
procedures adopted by the school and our community.

I fully understand to the extent allowed by law and rules, I hereby agree to waive,
release and discharge any and all claims, causes of action, damages and rights
against University of Eastern Philippines and the Host Training School or any of its
officers, employees, or representatives responsible for any case of untoward
incident that may happen relative to the conduct of the activity.

____________________________ ____________________

Signature of Parent / Guardian Date

epublic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division
PARENT CONSENT AND WAIVER
I, ____________________________, as the parent or legal guardian of
_________________
hereby acknowledge that I have been informed of the details of the
conduct of
Implementation of Limited Face to Face learning modality.
I understand that BAGGAO NATIONAL AGRICULTURAL SCHOOL SM ANNEX
shall implement
the minimum public health standards set by the government to minimize risk of the
spread
of COVID 19, but if cannot guarantee that my child will not become infected with
COVID 19
given that COVID 19 is highly contagious.