CITY GOVERNMENT OF SAN PABLO

DALUBHASAAN NG LUNSOD NG SAN PABLO

Excellence • Leadership • Service
CHED Recognized Local College
TESDA Recognized Programs
ALCU Commission on Accreditation – Level 1 Accredited
Member, Association of Local Colleges and Universities
Member, Local Colleges and Universities Athletic Association, Inc.

Parental Consent
April 17, 2023

I, _______________________________________________ a _____________________ student of

(Name of Student) (Course & Year)

Pamantasan ng Lungsod ng San Pablo will participate in the “SING TARLAC SING “ Chorale Festival at
Tarlac City Tarlac on July 2023. In due of This we will have a rehearsal this April 18,19,20 2023.

I fully understand the circumstances of joining and attending the event.

Therefore, I do hereby waive any liability, of whatever nature, against the Pamantasan ng Lungsod ng San
Pablo-Arts and Culture Development Center and all concerned authorities for any untoward incident or
any harm that should befall me during my participation in the event.

_________________________________________________

Student’s Signature over Printed Name

I/We________________________________ parent(s)/guardian(s) of _________________________

(Name of Parent(s)/Guardian) (Name of Student)

do hereby grant permission for his/her participation to “SING TARLAC SING “ Chorale Festival at
Tarlac City Tarlac on July 2023.

I/We voluntarily waive our rights to claim against the concerned authorities and school of whatever
nature. Should any untoward incident befall our son/daughter/ward in the course of his/her participation
and during his travel to and from the said event.

_____________________________________________________________

Parent’s/Guardian’s Signature over Printed Name / Date

Address: Brgy. San Jose, City of San Pablo, Laguna Tel. no. (049) 523-6455/503-1269 E-mail: dlsp_reg@yahoo.com - (Registrar’s Office),dlspsanpablocity1997@gmail.com