Waiver (Long Bond Paper)
Waiver (Long Bond Paper)
Waiver (Long Bond Paper)
Location/Time
If Dorm resident:
_______________________
Teacher/Instructor
________________________
SAO Director
CONSENT
We / I hereby affix our / my signature as a proof of our / my consent to our / my childs joining the
_____________________________________________________ in _______________________________________.
activity
location
We / I hereby hold free and harmless New Era University, ____________________________ and any of its
Department / Branch
officers, teachers, and staff in the event of any accident, injury or sickness that may befall our / my child in the course of this
activity knowing that the school shall and will exercise extra ordinary diligence.
Signed this _____ of ______________, ________ , in _________________________________________________.
Day
Month
Year
________________________________
Place
_________________________________
Relation
(UMO Copy)
CONSENT
We / I, ____________________________________________, parents / guardian of the Elem. / High School /
College student _______________________________________, section __________________________________.
Name of Student
We / I hereby affix our / my signature as a proof of our / my consent to our / my childs joining the
_____________________________________________________ in _______________________________________.
activity
location
We / I hereby hold free and harmless New Era University, ____________________________ and any of its
Department / Branch
officers, teachers, and staff in the event of any accident, injury or sickness that may befall our / my child in the course of this
activity knowing that the school shall and will exercise extra ordinary diligence.
Signed this _____ of ______________, ________, in _________________________________________________.
Day
Month
________________________________
Relation
Year
Place
_________________________________