ACKOWLEDGEMENT OF RISKS AND

WAIVER OF LIABILITY

I, ______________________________, resident of __________________________________, am the parent

or legal guardian of ______________________________, born on __________________. My
son/daughter/ward is participating in an educational tour organized by Western Mindanao
State University – College of Computing Studies to Manila, Quezon, Taguig, Makati,
Laguna, Tagaytay, Batangas, Subic and Baguio City with an original departure date of June
04, 2023 and return date of June 11, 2023.

I hereby acknowledge and agree that:

1. Alternate Flight Arrangements: I understand that my son/daughter/ward has

requested to return from the Destination on a different flight _______________ than the
one scheduled by the Western Mindanao State University – College of Computing
Studies. I hereby give my permission to make alternate flight arrangements for their
return journey.

2. Responsibility for Alternate Flight Arrangements: I understand that the Western

Mindanao State University – College of Computing Studies is not responsible for
arranging or overseeing the Alternate Flight Arrangements. I accept full responsibility for
coordinating, booking, and paying for the Alternate Flight Arrangements, as well as
ensuring the safe and timely arrival at the return destination.

3. Release of Liability: I hereby release, waive, and hold harmless the Western Mindanao
State University – College of Computing Studies, its employees, agents,
representatives, and volunteers (collectively, the "Releasees") from any and all liability,
claims, demands, actions, and causes of action whatsoever arising out of or related to
any loss, damage, or injury, including death, that may be sustained as a result of the
Alternate Flight Arrangements, whether caused by the negligence of the Releasees or
otherwise.

4. Indemnification: I agree to indemnify, defend, and hold harmless the Releasees from
and against any and all claims, liabilities, damages, losses, or expenses, including
reasonable attorney's fees and costs, arising out of or in any way connected with my
son’s/daughter’s/ward’s participation in the Alternate Flight Arrangements.

I acknowledge that I have read and understand the document, I accept its terms,
and I sign it knowingly and voluntarily.

_____________________________ ____________________________
Signature over printed Name Signature over printed Name
of Student of Guardian/Parent
Date: _______________________ Date: ______________________