SDO-2010-F- 009 Rev. No. 003 Rev.

Date: 15 May 2009

CENTER FOR STUDENT DEVELOPMENT AND LEADERSHIP

STUDENT DEVELOPMENT OFFICE

________________________________________
(College/Department)
PARENTS CONSENT FORM
Date: _______________________

I/We, _____________________________________________________________________________________________
(Print Name of Parent/s and or Guardian)
Gives my/our full consent to my/our son/daughter ________________________________________________________________
(Print Name of Student)
to join the _________________________________________________________________________________________________
(Name of Event/Activity)
in _____________________________________________________ on _______________________________________________.
(Place of Event/Activity Complete) (Inclusive Date)

By this consent, I hereby hold the University of Iloilo, the faculty Adviser, his substitute or any other representative of
the University free from any legal or other responsibility, civil, criminal or administrative liability for any injury, damage or
prejudice that may befall my son/daughter during this event or activity.

________________________________
Signature of Parent/Guardian
Noted: ___________________________
(Student Adviser)

Approved: ___________________________
(Department/College Dean)

(COPY FOR THE DEAN / ADVISER)

……………………………………………………………………………………………………………………………………………………………………………………………………
SDO-2010-F-009 Rev. No. 003 Rev. Date: 15 May 2009

CENTER FOR STUDENT DEVELOPMENT AND LEADERSHIP

STUDENT DEVELOPMENT OFFICE
______________________________________
(College/Department)
PARENTS CONSENT FORM
Date: __________________

I/We, _____________________________________________________________________________________________
(Print Name of Parent/s and or Guardian)
Gives my/our full consent to my son/daughter ___________________________________________________________________
(Print Name of Student)
to join the _________________________________________________________________________________________________
(Name of Event/Activity)
in _____________________________________________________ on _______________________________________________.
(Place of Event/Activity Complete) (Inclusive Date)
By this consent, I hereby hold the University of Iloilo, the faculty Adviser, his substitute or any other representative of
the University free from any legal or other responsibility, civil, criminal or administrative liability for any injury, damage or
prejudice that may befall my son/daughter during this event or activity.
____________________________________
Signature of Parent/Guardian
Noted: ___________________________
(Student Adviser)

Approved: ___________________________
(Department/College Dean)

(COPY FOR THE SDO)