Ateneo de Zamboanga University

College of Science, Information Technology and Engineering

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ACKNOWLEDGEMENT AND WAIVER for FACE-TO-FACE ACTIVITIES

In compliance with the CHED MEMORANDUM ORDER NO.9 S2022 – Updated Guidelines on the
Implementation of Face-to-Face Classes to Prevent and Mitigate COVID-19 infections in Higher Education, I
recognize that the Ateneo de Zamboanga University, exercising due care, have established realistic
preventive measures, health and safety guidelines, protocols and standards of behavior to avoid COVID-
19 infection and transmission during actual face-to-face classes and other off-campus activities. All
students including my son/daughter are expected to strictly follow and adhere to such guidelines and
protocols. ADZU may institute disciplinary action against any student found to have willfully and
negligently violate the protocols and guidelines, and impose necessary sanctions in accordance with the
ADZU Student Handbook. ADZU likewise reserves the right to deny the privilege of further attendance
and participation in face-to-face classes and activities to such students to promote the health and safety
of everyone concerned.

Despite ADZU’s prescribed health and safety policies and measures, I acknowledge that there is no
absolute guarantee that my son/daughter will not acquire COVID-19 during his/her attendance and
participation in limited face-to-face classes and activities. It is beyond any institution’s competence and
capacity to completely eradicate the risk of COVID-19 infection and transmission. Therefore, in giving my
consent and permission to allow my son/daughter,
Philwin M. Hao,
(name of the student)

to attend face-to-face classes and other off-campus activities in relation to completion of the course
requirements. I fully understand and accept the risk of COVID-19 infection and transmission that my
son/daughter and household may be exposed to. I completely realize that such serious risk may result in
personal injury, illness, permanent disability, or death. Accordingly, I assume full responsibility for any
loss or damage that may possibly result from my son/daughter’s attendance and participation in ADZU’s
face-to-face classes and other off-campus activities. I hereby release Ateneo de Zamboanga University,
the members of its Board of Trustees, its administrators, faculty, staff and its official representatives
from any and all liability in connection with any sickness, injury or loss arising from the conduct of face-
to-face classes and other off-campus activities. Moreover, I waive my right to institute any
administrative, civil or criminal action against the University, its officials and employees. Any dispute,
complaint, issue or concern arising from the conduct of face-to-face classes and other off-campus
activities must be presented first to ADZU administration for proper settlement and disposition. I
completely realize that by executing this undertaking, I am renouncing my right to hold ADZU liable for
damages, whether known or unknown, foreseen or unforeseen. I execute this acknowledgement and
waiver freely and voluntarily, and shall faithfully abide by the stipulations herein.

Name of the Student: Philwin M. Hao______________________________

Program and Year Level:Bs BME-4 ______________________________

Name of the Parent: Milagros M. Hao_______________________________

Date:1/14/2022

Signature of the Parent:______________________________

COMPUTER SCIENCE DEPARTMENT | ENGINEERING DEPARTMENT | MATHEMATICS DEPARTMENT |

NATURAL SCIENCES DEPARTMENT