SENIOR HIGH SCHOOL DEPARTMENT

PARENT / GUARDIAN CONSENT FORM

Date: November 17, 2022

TO WHOM IT MAY CONCERN:

This is to certify that I allowed my son/daughter to join the Educational Tour/Seminar-

Workshop/Conference/Convention.

Name of son/daughter
Title of Activity 2nd Quarter Performance Task for CSENG01 and
CSPHIL01(Original Eulogy Presentation)
Date of Activity December 2, 2022/ 7-9 AM
Place(s) to visit: MUSIC ROOM, Colegio de San Juan de Letran

Thank you very much!

Yours truly,

Name of Parent/Guardian Contact Number(s)

(Signature over Printed Name & Date)

STUDENT WAIVER

I, (name) presently enrolled in (subject)

(strand/section) present myself to join the (name of activity) as

part of our school/student activity and do hereby pledge that:
1. I will obey and abide by the rules and regulations promulgated and enforced by the officials of Letran
Senior High School for the protection and safety of all.

2. That I hereby waive and renounce my rights to all damages, hospitalization, and the like in case of any
misfortune, injury, or accident be slight or serious, that may happen in connection with the activitie/s
or requirement/s. The cause of this will be attributable to my acts of disobedience, negligence, and the
offense of my heading to advice, warning, precaution, and safety rules that were read to me by my
adviser/teacher-in-charge before the start of the activity.

3. That the content of this waiver was read and explained to me before I affix my name and signature this
day of, freely and voluntarily.

Thank you very much!

Yours truly, APPROVED:

Name of Student Nameof Parent/ Guardian

(Signature over Printed Name) (Signature over Printed Name)