Emilio Aguinaldo College

OFFICE OF STUDENT AFFAIRS

PARENT’S CONSENT AND WAIVER FORM

Date Filed: October 27 2022

Month Day Year

GENERAL INFORMATION OF ACTIVITY

SCHOOL/STUDENT ORGANIZATION SPONSORING

THE ACTIVITY EAC Dance Troupe/ Office of Student Affairs

TYPE OF ACTIVITY (Please put a check mark on the type of

activity that this waiver applies.)
Co-curricular (Student activities related to academic requirements)
 Outside campus (Within NCR-CALABARZON Area)

 Outside campus (Outside NCR-CALABARZON Area)

Extra-curricular (Student activities not related to academic requirements)

MODE OF TRANSPORT
 Leadership Training Seminar
 Community Outreach Activities
 Official School Transport  Others:
 Sports & Athletic Activities
Please specify: For in-campus rehearsal, partiipants will provide
 Recreational Activities
their own mode of transport. For the competition day, there
 Seminar/Conference/Convention
 Private Transport will be an official school transport to the event venue.
 Volunteer Work
 Team Building
 Rented Vehicle
 Competition/Contest
 Others:
 Commute via Public Utility Vehicle (Bus, Jeepney, Van, Train, Airplane, Ship and the like.)
Please specify_____________________________________.

OBJECTIVES OF THE ACTIVITY

1. Represent the school and become known locally by taking part in local government programs such as the Paruparo
Festival Dance Competition.

2. Foster social relationships with others.

3. Develop competitive abilities and sportsmanship.

AMOUNT OF FEES TO BE COLLECTED FROM THE

PARTICIPANT ₱ - N/A
DATE OF THE ACTIVITY ADDRESS/VENUE OF THE ACTIVITY
Rehearsal: October 27, 2022 ONWARDS 4:00-PM- REHEARSAL- EAC CAVITE- SOCIAL HALL
8:00PM COMPETITION: Dasmariñas Arena
Competition Day: November 26, 2022 7AM
ONWARDS
TIME AND PLACE OF DEPARTURE 7:00 AM CALL TIME IN EAC
12:00 PM – EAC CAVITE DEPARTURE
TIME AND PLACE OF ARRIVAL 12:30 PM – Dasmariñas City Hall (Bayan)
Parade- Going to Dasmarinas Arena
FACULTY/ADVISER/SCHOOL OFFICIAL-IN-CHARGE Ms. Kay Anne Gacelo
NOTE:
1. Please fill up all the details requested. Incomplete forms will not be credited.
2. Write legibly in the spaces provided.
3. After accomplishing this form, please have it notarized in compliance with CMO Regional 190 Series of 2015.
4. Submit together with this form the photocopy of any government issued identification card of the parent/guardian signatory.
5. Submit the completed form to the Office of Student Affairs a week before the scheduled activity.

QF-OSA-004 (08.18.2022) Rev.02

 Emilio Aguinaldo College
OFFICE OF STUDENT AFFAIRS
PARENT’S CONSENT AND WAIVER FORM
TO BE WITH THE STUDENTS FOR THIS ACTIVITY
CONTACT NUMBER OF PERSONNEL-IN-CHARGE 09923092125
FOR THIS ACTIVITY

Date: __________________________

To the Office of Student Affairs,

As parent/guardian of ______________________________ _____________ _______________ _______

Full Name of Student ID Number Course & Year Level Section

I voluntarily allow my son/daughter/ward to join and participate in the Paruparo Festival Dance Competition .
Title of the Activity

Together with my child, I present this notarized document to personally express my willful understanding of the
terms and conditions stated in this form and that Emilio Aguinaldo College and its officers, faculty advisers and staff are
expected to observe legal diligence expected of them for the safety and security of my child for the entire duration of the
activity from departure and to the expected arrival.

This legal diligence would include oral and/or written instruction given to the student within the reasonable time
whether before or during the activity, that could ensure his/her safety and security.

In the event that my child disregards the instructions or acted on his/her own volition otherwise without informing
the personnel-in-charge I, as the parent/guardian shall therefore understand and shall have no claims against Emilio
Aguinaldo College, to the officers of the institution, faculty advisers and staff.

Respectfully Yours,

Printed Name of Guardian/Parent Signature Contact Details

Printed Name of Student Signature Contact Details

NOTE:
1. Please fill up all the details requested. Incomplete forms will not be credited.
2. Write legibly in the spaces provided.
3. After accomplishing this form, please have it notarized in compliance with CMO Regional 190 Series of 2015.
4. Submit together with this form the photocopy of any government issued identification card of the parent/guardian signatory.
5. Submit the completed form to the Office of Student Affairs a week before the scheduled activity.

QF-OSA-004 (08.18.2022) Rev.02

 Emilio Aguinaldo College
OFFICE OF STUDENT AFFAIRS
PARENT’S CONSENT AND WAIVER FORM

NOTE:
1. Please fill up all the details requested. Incomplete forms will not be credited.
2. Write legibly in the spaces provided.
3. After accomplishing this form, please have it notarized in compliance with CMO Regional 190 Series of 2015.
4. Submit together with this form the photocopy of any government issued identification card of the parent/guardian signatory.
5. Submit the completed form to the Office of Student Affairs a week before the scheduled activity.

QF-OSA-004 (08.18.2022) Rev.02