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WWW - Batstate-U.edu - PH: Signature of Students Parent/Guardian & Contact No

This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

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Dave Bunquin
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78 views1 page

WWW - Batstate-U.edu - PH: Signature of Students Parent/Guardian & Contact No

This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

Uploaded by

Dave Bunquin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BATANGAS STATE UNIVERSITY

College of Engineering, Architecture and Fine Arts


Gov. Pablo Borbon Campus II, Alangilan, Batangas City, Philippines 4200
www.batstate-u.edu.ph
Telefax: (043) 300-4404 locs. 106-118
Association of Instrumentation and Control Engineering Students
WAIVER
I, _______________________________, a bonafide Instrumentation and Control Engineering Student of
Batangas State University with student number _____________ do hereby voluntarily join the Acquaintance/Team
Building and Sportsfest in Bluroze, Brgy, Ludlod, Lipa and Marian Learning Center and Science High School,
AlangilanBatangas on August 21-23, 2015 under the following terms and conditions:
1. That I shall renounce and waive any claim against the school/establishment for any injury or accident that I may
suffer; and
2. That I shall be answerable for any liabilities for damages to property or injury to third person/s which may be
caused by me intentionally or inadvertently while in the course of this activity.
____________________________________
Signature of Students
Engr. JANICE F. PERALTA
Co-Adviser, AICES

____________________________________
Parent/Guardian & Contact No.
ENGR. DIVINA GRACIA D. RONQUILLO
Chairman, ECE/ICE/MEXE Department

DR. ELISA D. GUTIERREZ


Executive Director/Dean, CEAFA

BATANGAS STATE UNIVERSITY


College of Engineering, Architecture and Fine Arts
Gov. Pablo Borbon Campus II, Alangilan, Batangas City, Philippines 4200
www.batstate-u.edu.ph
Telefax: (043) 300-4404 locs. 106-118
Association of Instrumentation and Control Engineering Students
WAIVER
I, _______________________________, a bonafide Instrumentation and Control Engineering Student of
Batangas State University with student number _____________ do hereby voluntarily join the Acquaintance/Team
Building and Sportsfest in Bluroze, Brgy, Ludlod, Lipa and Marian Learning Center and Science High School,
AlangilanBatangas on August 21-23, 2015 under the following terms and conditions:
1. That I shall renounce and waive any claim against the school/establishment for any injury or accident that I may
suffer; and
2. That I shall be answerable for any liabilities for damages to property or injury to third person/s which may be
caused by me intentionally or inadvertently while in the course of this activity.
_________________________________
Signature of Students
ENGR. JANICE F. PERALTA
Co-Adviser, AICES

____________________________________
Parent/Guardian & Contact No.
ENGR. DIVINA GRACIA D. RONQUILLO
Chairman, ECE/ICE/MEXE Department

DR. ELISA D. GUTIERREZ


Executive Director/Dean, CEAFA

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