OFFICE OF THE STUDENT GOVERNMENT

WESTERN INSTITUTE OF TECHNOLOGY

Luna St., La Paz, Iloilo City

“WAIVER”

I Hedda Damasco, parent/legal guardian of Jose Froilan Damasco, hereby give my

son/daughter permission to attend and participate the 59th annual college days at Ricardo
T. Salas (RTS) Campus on February 10, 2022, as it is one of the activities run by WIT
Student Government Council A.Y 2022 – 2023.

By signing this waiver form, I recognized that the Western Institute of Technology, Office of
the Student Government, and any other representatives and employees of the institution are
not responsible for any unfortunate incident that may arise for reasons beyond their control,
including a COVID-19 transmission case.

HEDDA DAMASCO___________
Signature of Parent/Guardian over Printed Name