Republic of the Philippines

Province of Lanao del Norte

Department of Education, Region X
MOMUNGAN ACADEMY
Municipality of Balo-I, 9217

SCHOOL WAIVER AND RELEASE FOR STUDENTS IN GRADE 11 HUMSS

TO CONDUCT VISITATION AND INTERVIEW IN MINDANAO STATE UNIVERSITY-MARAWI CITY

I, ______________________________, hereby give permission to my child,_____________________

(parent’s name) (student’s name)
to conduct visitation (Aga Khan Museum, College of Education, & College of Public Affairs) & interview
teachers/students as part of their 1st performance task output in “DISCIPLINE AND IDEAS IN APPLIED
SOCIAL SCIENCES & PAGBASA AT PAGSUSURI SA IBA’T IBANG TEKSTO TUNGO SA PANANALIKSIK”
subject effective on this day, _______________________. This activity will be held on March 6,
2024.This will serve as their stepping stone for the future involvement counseling.

I understand that by allowing my child,____________________________ from the above-mentioned

activity, I agree to release the Momungan Academy, its administrators, faculty as well as the subject-
teacher from and against any liability, loss, damages, claims or action to the maximum extent by law,
arising out of such activity.

________________________________________ _________________________
(Parent’s Signature) (Date)