PARENT’S CONSENT & WAIVER

TO WHOM IT MAY CONCERN:

This is to certify that I, Mr./Mrs._______________________________, parent/guardian

of ________________________________________________, a bonafide student at
the_________________________________, granted him/her permission to join the
Activity in _________________________________________________ at the
_________________________________ from___________ to _______________.

We affirm that the school, College of Technological Sciences-Cebu is in no way

responsible nor shall pay compensation for any accident, harm or injury that may be
caused to this person during his training. I also certify that he/she has on his/her own free
will, affixed his/her signature below together with my own signature.

_______________________________ _______________________________
Name & Signature of Parent/Guardian Name & Signature of Student

WITNESSES:

_______________________________ _______________________________
Print Name & Signature Print Name & Signature

_______________________________________________________________________

SUBSCRIBED AND SWORN to before me this _________day of _________________,

20____ at _____________________________, Philippines, affiant exhibited to me
his/her Community Tax Certificate No. _____________________, issued on
______________________ at _____________________________________, Philippines.

Doc. No.________
Page No.________
Book No._______
Series of 20_____