PHILIPPINE SOCIETY OF MEDICAL

TECHNOLOGY STUDENTS (PHISMETS) –

UNP CHAPTER

PARENT’S CONSENT

Complete Name of Student: ___________________________________________________________

Course, Year & Section: ______________________________________________________________
Contact Number of Student: ___________________________________________________________
Complete Address: __________________________________________________________________
Name of Adviser: ___________________________________________________________________
Contact Number of Adviser: __________________________________________________________
Parent/Legal Guardian’s Name: ________________________________________________________
Parent/Legal Guardian’s Contact Number: _______________________________________________

I, _________________________, Mother/Father/Legal Guardian of __________________________,

do hereby allow for my son/daughter to attend school on November 26-27, 2023, in preparation for the
upcoming Medtech Week on November 29-December 1, 2023. As such, I voluntarily give my consent
and agree to follow all applicable rules and standards in carrying out the preparation, including but not
limited to the health protocols mandated by the Philippine Society of Medical Technology Students -
University of Northern Philippines Chapter (PHISMETS-UNP Chapter).

I will NOT hold the University and the Organization liable/responsible for any of the following
circumstances:
1. If the event is unforeseeable and beyond the control of the Organization or the University;
2. If any unfortunate incident/s may happen after the event hours; and
3. Any other untoward circumstances analogous to the aforementioned situations.

____________________________________________ _______________
Signature over printed name of Parent/Legal Guardian Date signed

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