COLLEGE OF ALLIED HEALTH SCIENCES

CAHS F2F Form 001

STATEMENT OF PARENTAL CONSENT

Dear Parents/Guardians:

Your child has expressed his/her intentions of joining the FACE TO FACE in his/her
RELATED LEARNING EXPERIENCE.
Title of Activity: LIMITED FACE TO FACE MODE OF LEARNING FOR STUDENT NURSES

to be held on 1st Semester at PHINMA- Araullo University and base

SY 2022-2023 hospital (Premiere Medical Center)
(DATE OF ACTIVITY) (PLACE)

If you are allowing your child to join the said activity, there will be a series of Parents’ assembly
starting July 2022.

Should you have any questions please contact CAHS Office 464 3300 local -122

………………………………………………………………………………………
…………. Statement of Parental Consent
Please be informed that the undersigned poses no objection to the participation of my
son/daughter, Mark Angelo Ericko Biluan

My son/daughter has expressed his/her intentions of joining the LIMITED FACE TO FACE
activity to be held in 1st semester and 2nd semester of SY 2020-2021 at PHINMA-Araullo
University and its base hospital.

The PHINMA-Araullo University CAHS will oversee the safety, behavior, and physical
upkeep of your child but the University and the accompanying adviser/s of the named
student shall not be held liable for any accident, untoward incident or damage that may be
caused to said student, there being no fault or negligence on the part of the College.

0997 324 9943

Contact# of parent

Signature over printed name of parent

Endorsed By: I hereby state that the information above is
true and correct.

Signature and Date

Name

Dean, College of Allied Health Sciences Organization

COLLEGE OF ALLIED HEALTH SCIENCES

CAHS F2F Form 001