PARENT’S CONSENT AND WAIVER

Date: 11/18/2022
Dear Parent / Guardian,
The school has duly approved the conduct of the student activity herein described:
Name of Student Activity: Student Activity Code PCSA#:
K.I.D. (Kabataan Iwas Droga) Movement - Drug Awareness Seminar
Nature of Student Activity:
Non - Academic
Venue of Student Activity:
COG -Dasmariñas
Date Start: 11-22-2022 Date End: 11-22-2022 Time Start: 8:30AM Time Start: 11:30AM
Activity-in-Charge AIC Contact No. Student Activity Fee Approval Reference
GSSO 0917-657-2463 -
In view thereof, we would like to seek to your consent to allow your son/daughter whose identification is indicated
below to participate in the said approved student activity.
Name of Student Student ID No. Grade & Section
HUMSS 111-02

It is our mutual interest to keep your son/daughter safe and secure. The school shall take proper precautionary measure to keep your
son/daughter safe and secure. However, their cooperation with the proper school authorities in the observance of security and safety
measures while they are under school supervision is highly essential.

Truly Yours Noted by: Approved by:

NATSUMI GRACE ROPERO
ACTIVITY-IN-CHARGE CLASS ADVISER ROBERTA M. MIRHAN CAROLINA P. BAYLEN
Signature over Printed Name Signature over Printed Name Assistant School Principal School Principal
Consent Reply Slip
Date:

I am allowing / Pinapayagan ko si I am NOT allowing / Hindi ko pinapayagan si

Name of Student Student ID No. Grade & Section

HUMSS 111-02

To participate in the approved school activity described below

Name of Student Activity: Non - Academic Student Activity Code

After the student activity, I am allowing my son/daughter to go home by himself/herself Do NOT allow my son/daughter to go
home without me or my representative to fetch him/her. In case of representative, attached herewith is the photocopy of his/her ID
which shall be presented before my son/daughter will be released from your custody.
By allowing my son/daughter, I fully understand that the school through its representative shall undertake all necessary precautionary
measures to keep my son/daughter safe and secure and that I understand that my son/daughter’s cooperation is highly essential and
part of that safety measures. However, in case of accident I fully understand that the limit and extent of liability of the school shall be
the amount of the accident insurance coverage subject to its implementing rules and regulations. We shall hold the school or its
representative free from responsibility and liability for any untoward incident that may happen beyond the school’s control such as
but not limited to cases wherein my son/daughter fails to cooperate and observe the imposed security and safety measures and for
other circumstances beyond such as natural calamities and disasters, civil disturbances and other criminal acts that may occur
spontaneously. I fully understand these conditions prior to giving my consent and this waiver, and should there be anything that I do
not understand, I have taken diligent efforts to understand it prior to affixing my signature below.
Parent’s or Guardian’s Name Parent’s or Guardian’s Signature Date Signed Contact Number