WAIVER

This is to certify that I am allowing my son/daughter:

_____________________________ to go on a practicum (On- the- Job Training) for 240
hours starting on _______________, until _________________, in partial fulfillment of the
requirements of his/her program in this institution which is: Hotel and Restaurant Services.

It is understood that he/she will abide by the rules and regulations imposed by the training
supervisor or staff for his own welfare and safety.

I fully agree to waive any responsibility on the part of AVM Foundation Inc., Pagsanjan, Laguna
(School), _______________________________ (Company) and /or any of their representatives
in case of any untoward incident that may happen to my son/daughter during the duration of the
said training.

I therefore willingly affix my signature on this waiver to express my full consent.

Mr./Mrs.
____________________________
Parent/Guardian’s Name & Signature
____________________________
____________________________
____________________________
Complete Address of Parents