WAIVER FORM

I, ___________________________________________
Lawrence Escano , hereby declare that I am physically fit and
voluntarily joining the Paragon: Nursing Week 2023 (Hermaia: Sports Festival 2023, Coeus 2023: Clash of
Wits, Renascence: Dance Competition 2023, Syphon: Blood Donation Drive 2023 and The Eternals: Mr. and
Ms. Nursing 2023). I release the University of the East Ramon Magsaysay Memorial, Inc., from any liability
arising or may be attributed to my participation in this event.

I pledge that my manners and conduct will, at all times, reflect credit upon my University, my parents, and
myself. I understand that the University rules and regulations apply for the entire duration of the Paragon:
Nursing Week 2023.

I/We hereby attest to the truthfulness of the above-mentioned claims of physical fitness to join the event.

Lawrence Escano
______________________________________________________ 01 Mar 2023
___________________
Participating student (Signature over printed name) Date Signed

Noted by: ______________________________________________ 01 Mar 2023

___________________
Parent / Guardian (Signature over printed name) Date Signed

WAIVER FORM
Lawrence Escano
I, ___________________________________________ , hereby declare that I am physically fit and
voluntarily joining the Paragon: Nursing Week 2023 (Hermaia: Sports Festival 2023, Coeus 2023: Clash of
Wits, Renascence: Dance Competition 2023, Syphon: Blood Donation Drive 2023 and The Eternals: Mr. and
Ms. Nursing 2023). I release the University of the East Ramon Magsaysay Memorial, Inc., from any liability
arising or may be attributed to my participation in this event.

I pledge that my manners and conduct will, at all times, reflect credit upon my University, my parents, and
myself. I understand that the University rules and regulations apply for the entire duration of the Paragon:
Nursing Week 2023.

I/We hereby attest to the truthfulness of the above-mentioned claims of physical fitness to join the event.

______________________________________________________
Lawrence Escano ___________________
01 Mar 2023
Participating student (Signature over printed name) Date Signed

Noted by: ______________________________________________ 01 Mar 2023

___________________
Parent / Guardian (Signature over printed name) Date Signed