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Parent’s/Guardian’s Certification of Waiver

AY, Term 2022-2023

To whom it may concern:

This is to certify that I am allowing my son/daughter, Juan Carlos Q. Garcia to take his/her Service-Learning
Engagement at Wood estate senior citizen association for 80 hours in partial fulfillment of the requirements
for the NSTP 2.

I also understand that he/she is expected to abide by the rules and regulations set by the STI-NSTP
guidelines and the Partner Organization.

I fully and voluntarily waive my right to hold STI Bacoor and/or any of its representatives responsible for
any case of an untoward incident that may happen to my son/daughter during the duration of his/her
immersion.

Ma. Theresa Quilacio


Signature over Printed Name of Parent or Guardian

Date Signed

Received by:

Mr. Alec Paolo V. Fabros Date Signed


NSTP Coordinator

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