Office of Student Affairs

Zone III, Lt. Cantimbuhan Street, Poblacion

Tel No. (046) 424 286 local 115

STUDENTS WAIVER

I, _MORDENO, DAVID JOSEPH F._ (name) currently enrolled in PNTC Colleges- Dasmariñas as a _BSMT 3RD
YEAR (course, year level) student, present myself to join the “PNTC Colleges Sports Festival 2023-2024”
voluntarily as part of extra-curricular activities and do hereby pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the officials of the College for the
protection and safety of all;

2. That I hereby understood that PNTC Colleges will not hold responsible,waived and renounce my rights to all
damages, hospitalization, and the like and I will not hold the employees or staff of MUST responsible for any
misfortune, injury, or accident be slight or serious, that may happen in connection with the activities or
requirements. The cause of which will be attributable to my acts of my disobedience, negligence, and the offense
of my heading to advice, warning, precaution, and safety rules that were read to be me by my adviser before the
start of the activity.

3. That the contents of this waiver were read and explained to me before I affix my name and signature this
_16TH _ day of _APRIL_ freely and voluntarily.

Thank you very much!

Yours truly,

_MORDENO, DAVID JOSEPH F._

Name of Student
(Signature-Over-Printed Name)

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PARENTS’ CONSENT FORM

I, _DEBBY S. MORDENO_, hereby permit _DAVID JOSEPH F. MORDENO_, my _SON_

(Guardian’s name) (Name of student) (Student’s relationship to the guardian)
To participate with “The PNTC Colleges Sport Festival 2023-2024” which is an extra-curricular activity of their
school. I attached my signature below to show my support.

_DEBBY S. MORDENO_
Name of Parent/Guardian
(Signature-Over-Printed Name)

_09162610249_
Guardian’s Contact Number
Date Signed: _APRIL 16,2024_