PARENT’S WAIVER AND CONSENT

I, the undersigned, as the parents of _________________________, a Bachelor of Elementary

Education student of University of Rizal System Morong Campus, do hereby give my full consent
and approval for my son/daughter to participate in:

Title of the Activity: FS 1 Observations of Teaching-Learning

in Actual School Observation
Nature of the Activity: Observations in School Setting
Date of the Activity: March 13 and 14, 2023
Time of the Activity: 8:00 am – 5:00 pm
Venue/Address if the Activity: Preferred Cooperating Schools
Faculty-in-Charge/Adviser: Dr. Reina R. Miranda

In consideration of the consent given for the participation in the above-mentioned activity, I, as the
student’s parent/authorized, together with son/daughter, do hereby release and waive University of
Rizal System Morong Campus, Dean/s, Faculty, Staff and representatives, from any and all claims
should any damage cause or liability be incurred to property or person arising from, but not limited
to, participation in the said event.

I expect and know that the campus will exercise the diligence required for the safety and well-
being of my son/daughter and that his/her participation in the activity will be beneficial to him/her.
However, participation in the activity carries it with certain risks that cannot be eliminated
regardless of the care taken to avoid injuries. I know and understood these and other risks that are
inherent to the said activity and hereby assert that my son’s/daughter’s participation, as well as my
consent to it, is voluntary and that I knowingly assume all such risks. However, should anything
happen that harms my son/daughter, I expect to be notified immediate through my contact
number_________________.

I acknowledge that I am signing this freely and voluntarily, and intent this by my signature to be a
complete and unconditional release of all liability to the greatest extent allowed by law.

Confome:

_______________________________ _______________________________________
Signature above Printed Name of Parent Signature above Printed Name of Parent
_______________________________ _______________________________________
Date Date

Witnesseth:

ROMMEL R. CASTRO, Ph. D.

_______________________________ PAULA CRISTIN JADE C. PENARANDA, Ed. D.
_______________________________________
Dean, College of Education Program Head, Bachelor of Elementary Education
Noted:

MARVIN P. AMOIN, Ph. D.

____________________________________
Acting Campus Director