NORZAGARAY COLLEGE

Municipal Compound, Norzagaray, Bulacan

COLLEGE OF HOSPITALITY MANAGEMENT

HOTEL PRACTICUM WAIVER

KNOW ALL MEN BY THESE PRESENTS:

I,___________________________________, Filipino, ___ years old, single/married,

with residence at ______________________________________________________________ ,
and presently enrolled at Norzagaray College, Municipal Compound, Barangay Poblacion,
Norzagaray, Bulacan, under the _________________________________ program, hereby
voluntarily renounce and waive, with the consent and conformity of my parent/ guardian of all
claims that I may have against the said Norzagaray College; and/ or its officials, arising from any
cause/s that may occur in connection with my Restaurant Practicum at the
_____________________________________________________________.

This waiver takes effect only on the duration of the said restaurant practicum.

IN WITNESS HEREOF, I hereby affix my signature this ______ day of ___________,

20___, in the ______________________________, Norzagaray, Bulacan.

WITH MY CONSENT AND CONFORMITY:

_______________________________
Signature of Student over Printed Name

CTC No: ______________________

Issued at:______________________
On:___________________________

_______________________________________
Signature of Parent/Guardian over Printed Name

SUBSCRIBED AND SWORN TO before me this _____ day of ___________________,

20_____, affiant exhibited to me his/her Residence Certificate No. _______________________
issued at __________________________________ on _________________________.

Doc. _____________________
Book No. _____________________
Page No. _____________________
Series of 20 _____________________
Notary Public _____________________
 SULAT KAMAY NG MAGULANG
April 11, 2022

SA KINAUUKULAN:

Ako si JUAN C. DELA CRUZ, nasa hustong gulang, magulang/tagapangalaga ni FILIPIAS C.

DELA CRUZ, kasalukuyang nasa ika-apat na taon sa kursong Bachelor of Science in
Hospitality Management at nakatira sa # 143 B. Nicolas St. Norzagaray, Bulacan ay
nagpapahayag ng aking pagpayag na magsagawa ng onsite restaurant practicum ang aking anak
sa D’ Crave Restaurant na matatagpuan sa 1522 JP Rizal, Malate, Manila bilang requirement
sa asignaturang, Restaurant Practicum (OJT 1) na ipinatutupad ng Norzagaray College
nitong Second Semester, AY 2022-2023.

Ako po ay sumasang-ayon na walang anumang pananagutan ang pamunuan at mga dalubguro ng

Dalubhasaan ng Norzagaray at nasabing Restaurant sa magiging bunga ng hindi pagsunod o
paglabag ng aking anak sa mga alituntunin ng establisyimento at kolehiyo.

Maraming salamat po.

Lubos na gumagalang,

Lagda ng Magulang_______________
Pangalan ng Magulang/Tagapangalaga
 NORZAGARAY COLLEGE
Municipal Compound, Norzagaray, Bulacan

COLLEGE OF HOSPITALITY MANAGEMENT

RESTAURANT PRACTICUM WAIVER

KNOW ALL MEN BY THESE PRESENTS:

I,___________________________________, Filipino, ___ years old, single/married,

with residence at ______________________________________________________________ ,
and presently enrolled at Norzagaray College, Municipal Compound, Barangay Poblacion,
Norzagaray, Bulacan, under the _________________________________ program, hereby
voluntarily renounce and waive, with the consent and conformity of my parent/ guardian of all
claims that I may have against the said Norzagaray College; and/ or its officials, arising from any
cause/s that may occur in connection with my Restaurant Practicum at the
_____________________________________________________________.

This waiver takes effect only on the duration of the said restaurant practicum.

IN WITNESS HEREOF, I hereby affix my signature this ______ day of ___________,

20___, in the ______________________________, Norzagaray, Bulacan.

WITH MY CONSENT AND CONFORMITY:

_______________________________
Signature of Student over Printed Name

CTC No: ______________________

Issued at:______________________
On:___________________________

_______________________________________
Signature of Parent/Guardian over Printed Name

SUBSCRIBED AND SWORN TO before me this _____ day of ___________________,

20_____, affiant exhibited to me his/her Residence Certificate No. _______________________
issued at __________________________________ on _________________________.

Doc. _____________________
Book No. _____________________
Page No. _____________________
Series of 20 _____________________
Notary Public _____________________