WAIVER For Uap 33rd Anniversary

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- Document Type: Document Code OSA-F16

FORM
ISO 9001:2015 Revision No. 01
Document Title: Effective Date July 29, 2019
PARENT’S CONSENT TO AN ACTIVITY
Page 1 of 1

October 20, 2023


Date

We, the parents /guardians of the students listed below hereby give consent and allow our sons/daughters
to participate in the 33RD Charter Anniversary Celebration to be held on October 21, 2023 , Saturday
at The Beachbar, Baybay, Roxas City.
We understand and appreciate the benefits that our child may gain out of joining this activity;
moreover, I will not hold the organizers/college/University responsible for any untoward incident that
may happen.

Name of Students Printed Name & Signature of Parents/Guardian

1. ______________________________ _________________________________________
2. ______________________________ _________________________________________
3. ______________________________ _________________________________________
4. ______________________________ _________________________________________
5. ______________________________ _________________________________________
6. ______________________________ _________________________________________
7. ______________________________ _________________________________________
8. ______________________________ _________________________________________
9. ______________________________ _________________________________________
10. _____________________________ _________________________________________
11. _____________________________ _________________________________________
12. _____________________________ _________________________________________
13. _____________________________ _________________________________________
14. _____________________________ _________________________________________
15. _____________________________ _________________________________________

Notary Public:
Doc. No. :___________
Page No. :___________
Book No. :___________
Series of :___________
Date :___________

Attested:
_____________________________________
_____________________________________
_____________________________________
_____________________________________

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