PALAWAN STATE UNIVERSITY

COLLEGE OF BUSINESS AND ACCOUNTANCY

Puerto Princesa City, Palawan
College of Business and Accountancy – Student Government
A.Y. 2022-2023

PARENT/GUARDIAN CONSENT AND WAIVER OF LIABILITY

I, , parent/guardian of (name of
Student) who is currently residing in , voluntarily
allowing him/her to participate in Team Building activity at Western command on June 8-11, 2023.
I understand that the Rules and Regulations set with proper consideration to the safety and security of
participants, and with this, I'll inform my son/daughter to follow the rules and regulations that will be imposed by
the University, College of Business and Accountancy, CBA-SG, CBA-SG Adviser, CBA-SG Assistant adviser,
CBA Faculty member, CBA Dean and PIGLAS Palawan.
As PARENT/GUARDIAN of_ (name of Student), I agree to the following terms
and conditions:

1. To bear the costs that will experience before, during, and after the Team building activity.

2. To release Palawan State University and all its officers and faculty from any claims whatsoever
arising or which may occur because the Student participates in the Team building activity, including
any claims due to personal injuries or illness excepting any such claim resulting from arising out of
the gross negligence of Palawan State University, its respective faculty, officers, and employees.

3. To authorize any representative of Palawan State University or any personnel of  CBA – SG, Dean,
CBA-SG Adviser, CBA-SG assistant adviser, CBA faculty member and PIGLAS Palawan to give
medical attention to the Student as may be deemed appropriate under the circumstances should the
Student suffer injury or illness while on the program/activities, at our cost and herewith releases
Palawan State University, its respective faculty, officers, and employees from any claim arising out
of such medical treatment;

4. Palawan State University may, at its discretion, term in ate the Student’s participation in the Team
building activity, and if the Student fails to keep and obey all rules and regulations prescribed by
College of Business and Accountancy, by the CBA – SG, CBA Dean, CBA-SG Adviser, CBA
assistant Adviser, and CBA faculty member while participating in a Team building activity.

By this means, I am allowing my child to participate in the said Activities and acknowledging all the above-stated.
IN WITNESS WHEREOF, I have affirmed my signature hereunto this
In .

Parent/Guardian

ID No.:
Expiry date:

Conformed:

DR.GRACEN.ABRINA DR. EVELYN B. TOMAS CARINA L. DICAR, MAM

Director, OSAS CBA-DEAN CSG-Adviser