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    Waiver For Immersion 1

    Uploaded by

    Michelle0
    This waiver form gives permission for a student named [NAME] to attend an activity being held by Liceo de Cagayan University Senior High School Department on [DATE] at [PLACE] from [TIME] until [TIME]. It states that the student will follow the school's rules and supervision during the activity. The parent agrees not to hold the school liable for any accidents or injuries resulting from the student failing to follow safety norms. The school reserves the right to prevent the student's participation for medical or security reasons if needed. The parent signs with their name, address, and contact number.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Waiver For Immersion 1

    Uploaded by

    Michelle0
    87 views1 page
    This waiver form gives permission for a student named [NAME] to attend an activity being held by Liceo de Cagayan University Senior High School Department on [DATE] at [PLACE] from [TIME] until [TIME]. It states that the student will follow the school's rules and supervision during the activity. The parent agrees not to hold the school liable for any accidents or injuries resulting from the student failing to follow safety norms. The school reserves the right to prevent the student's participation for medical or security reasons if needed. The parent signs with their name, address, and contact number.

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    Waiver for Immersion 1

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    This waiver form gives permission for a student named [NAME] to attend an activity being held by Liceo de Cagayan University Senior High School Department on [DATE] at [PLACE] from [TIME] until [TIME]. It states that the student will follow the school's rules and supervision during the activity. The parent agrees not to hold the school liable for any accidents or injuries resulting from the student failing to follow safety norms. The school reserves the right to prevent the student's participation for medical or security reasons if needed. The parent signs with their name, address, and contact number.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    87 views1 page

    Waiver For Immersion 1

    Uploaded by

    Michelle0
    This waiver form gives permission for a student named [NAME] to attend an activity being held by Liceo de Cagayan University Senior High School Department on [DATE] at [PLACE] from [TIME] until [TIME]. It states that the student will follow the school's rules and supervision during the activity. The parent agrees not to hold the school liable for any accidents or injuries resulting from the student failing to follow safety norms. The school reserves the right to prevent the student's participation for medical or security reasons if needed. The parent signs with their name, address, and contact number.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    FORM 002

    WAIVER/CONSENT FORM

    Date: _________________

    Mrs. Mary Grace C. Mesias


    Principal
    Liceo de Cagayan University
    Senior High School Department
    Paseo del Rio Campus
    Cagayan de Oro City

    This is to inform you that I am giving permission for my son/daughter (Name) _____________________,
    (Grade Level and Section) ___________________, to attend the (Activity)
    __________________________________, which your department will hold on (Date) _______________
    at (Place) __________________________ from _______________ until _______________.

    It is understood that he/she is bound by the rules and regulations of Liceo de Cagayan University during
    this activity and will be subject to the supervision and authority of duly designated representative/s of the
    school.

    I have considered the benefits that shall be derived from the participation of our son/daughter in the said
    activity with the undertaking that the necessary safety measures/precaution shall be taken.

    I will not hold the school liable for any damages that may arise - for any accident or injury which may
    occur as a result of any deliberate disregard on the part of my son/daughter to follow and observe norms
    of safety or behavior prescribed by the school and its duly designated representative/s during the said
    activity.

    I further certify that I have understood the effect and all the consequences of this waiver and that the
    school reserves the right to disallow my child’s participation in this particular activity for medical/health
    or security reasons if and when necessary.

    _______________________________________ _______________________________________
    Signature over Printed Name of Parent/Guardian Complete Address & Contact No.

    Relationship to the child: __________________

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