UNIVERSITY OF SAINT ANTHONY

(Dr. Santiago G. Ortega Memorial)

City of Iriga

OFFICE OF THE STUDENT AND ALUMNI AFFAIRS

CONSENT AND WAIVER

OSAA ____________

This is to certify that I am allowing my son/daughter/ward,

FIRST NAME MIDDLE INITIAL LAST NAME COURSE/YEAR

to join and participate in the _______Exploring Nursing Care for Critically-Ill

Patients: Seminar Workshop for Student Nurses ___ ____
ACTIVITY

_________________COLLEGE OF HEALTH CARE EDUCATION_________________

DEPARTMENT/ORGANIZATION

on _DEC. 16, 2023___ ___________________ _ ___________________

DATE TIME CONTRIBUTION

I fully understand and agree that the University of Saint Anthony (USANT) shall
not be held liable for any untoward incident caused by my son’s/daughter’s/ward’s
negligence and recklessness and/or circumstances beyond the control of USANT.

Done this day of _ , 2023 at _ ________

____ ______
Parent’s/Guardian’s Signature
Over Printed Name
Contact number/s: _ ___
Noted:
MR. RONALD C. ABAÑO, RN., MAN
Faculty Adviser’s/Dean’s Signature MRS. DAISY S. JUDAVAR
Over Printed Name Dean, Student and Alumni Affairs

USANT-F-OSAA-01 Rev.01 January 03, 2022

UNIVERSITY OF SAINT ANTHONY

 (Dr. Santiago G. Ortega Memorial)
City of Iriga

OFFICE OF THE STUDENT AND ALUMNI AFFAIRS

CONSENT AND WAIVER

OSAA ____________

This is to certify that I am allowing my son/daughter/ward,

FIRST NAME MIDDLE INITIAL LAST NAME COURSE/YEAR

to join and participate in the _______Testimonial Ceremony____

ACTIVITY

_________________COLLEGE OF HEALTH CARE EDUCATION_________________

DEPARTMENT/ORGANIZATION

on _DEC. 20, 2023___ ___________________ _

___________________
DATE TIME CONTRIBUTION

I fully understand and agree that the University of Saint Anthony (USANT) shall
not be held liable for any untoward incident caused by my son’s/daughter’s/ward’s
negligence and recklessness and/or circumstances beyond the control of USANT.

Done this day of _ , 2023 at _ ________

____ ______
Parent’s/Guardian’s Signature
Over Printed Name
Contact number/s: _ ___
Noted:
MR. RONALD C. ABAÑO, RN., MAN
Faculty Adviser’s/Dean’s Signature MRS. DAISY S. JUDAVAR
Over Printed Name Dean, Student and Alumni Affairs

USANT-F-OSAA-01 Rev.01 January 03, 2022

UNIVERSITY OF SAINT ANTHONY

 (Dr. Santiago G. Ortega Memorial)
City of Iriga

OFFICE OF THE STUDENT AND ALUMNI AFFAIRS

CONSENT AND WAIVER

OSAA ____________

This is to certify that I am allowing my son/daughter/ward,

FIRST NAME MIDDLE INITIAL LAST NAME COURSE/YEAR

to join and participate in the _______Career Development Seminar____

ACTIVITY

_________________COLLEGE OF HEALTH CARE EDUCATION_________________

DEPARTMENT/ORGANIZATION

on _DEC. 13, 2023___ ___________________ _

___________________
DATE TIME CONTRIBUTION

I fully understand and agree that the University of Saint Anthony (USANT) shall
not be held liable for any untoward incident caused by my son’s/daughter’s/ward’s
negligence and recklessness and/or circumstances beyond the control of USANT.

Done this day of _ , 2023 at _ ________

____ ______
Parent’s/Guardian’s Signature
Over Printed Name
Contact number/s: _ ___
Noted:
MR. RONALD C. ABAÑO, RN., MAN
Faculty Adviser’s/Dean’s Signature MRS. DAISY S. JUDAVAR
Over Printed Name Dean, Student and Alumni Affairs

USANT-F-OSAA-01 Rev.01 January 03, 2022