ASSUMPTION OF RISK, WAIVER, AND RELEASE OF

LIABILITY

This Assumption of Risk, Waiver, and Release of Liability is a legal agreement in favor of the City Government of
Calamba through the City Human Resource Management Office, its affiliated organizations, trustees, offices, and
employees. Please read this document carefully before signing.

I, Jezreel D. Peña of legal age, acknowledge that I freely and voluntarily agree to participate in the internship
program facilitated and organized by the City Government of Calamba through the City Human Resource
Management Office for a total of four hundred fifty (450) learning and development hours in the City Government of
Calamba.

General Waiver and Release of Liability

I understand that my participation in the internship program may involve risks not found in a study at the City
Government of Calamba. I hereby release, waive and discharge the City Government of Calamba, its offices, and
employees from any and all liability, claim damages, and losses arising out of or in connection with my internship
experience, including, without limitation, any loss, damage or injury arising while traveling to and from the internship
site within and outside the City of Calamba or arising from weather, strikes, acts of God, force majeure, civil unrest,
war, terrorism, quarantine, criminal activity, accident, sickness, injury or death or other circumstances beyond the
control of the City Government, that may be sustained by me or to any property belonging to me while participating in
the internship.

I acknowledge that if the City Government assists me with expenses associated with this educational opportunity, I
further agree that the City Government of Calamba will have no liability or responsibility as a result of such financial
assistance should there be thereof, except if caused by the sole negligence of the City Government of Calamba.
However, I do acknowledge that I am not entitled to wages or any form of compensation or benefits for the time spent
in the internship unless otherwise given to me voluntarily by the City Government. Transportation to and from the
internship site, food, and other related expenses shall be my sole responsibility. I understand that the internship is
related and intended for an educational purpose and there is no guarantee or expectation whatsoever that the activity
will result in employment with the City Government of Calamba.

Medical Treatment
I understand that the City Government does not provide health insurance. I, therefore, certify that I carry valid and
current health insurance that will cover medical services that might be necessary due to accidents, illnesses, or
injuries I may face while participating in this internship program. I agree that I will not participate in the internship
program should I become uninsured. I also assure the City Government that I am sufficiently healthy or free from any
medical condition that may be exacerbated or aggravated by my participation in such activity and that I ascertain, if
necessary, with the help of a medical professional, my physical and mental fitness.

Assumption of Risk
I recognize that there may be an unavoidable and unforeseeable risk of injury or harm to my person or property or the
persons or property of my accompanying dependents or companions during my participation in this internship
program. I understand that the City Government of Calamba is not responsible for the acts or omissions of any third
party.

Standards of Conduct/Discipline
I agree to become informed of and abide by the policies and standards of the City Government of Calamba through
the City Human Resource Management Office, demonstrate honesty, punctuality, courtesy, cooperative attitude,
proper health and grooming habits, appropriate dress, and a willingness to learn. I also acknowledge that as a
student of the City College of Calamba, I also remain subject to the said school/university/college's disciplinary
processes for my conduct on internships organized or facilitated by the City Government of Calamba. The City
Government may at any time in its sole discretion, terminate me without notice or cause. Under no circumstance that
I leave the internship without first conferring with my supervisor and the City Human Resource Management Office.

It is my express intent that I shall assume all of the risks of participation in the internship program and that this
Acceptance of Risk, Waiver, and Release of Liability Agreement shall bind the members of my family, my heirs,
guardians, legal representatives and assigns. This agreement shall be construed in accordance with the laws of the
Republic of the Philippines. I am 18 years of age or older. I have read and fully understood the above Acceptance of
Risk, Waiver, and Release of Liability Agreement. I voluntarily sign this Agreement.

STUDENT COMPANY
REPRESENTATIVE
(Signature Over Printed Name) (Signature Over Printed Name)
10/10/2022 10/10/2022