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    Parental Consent and Waiver Form

    Uploaded by

    Jhudith De Julio Buhay
    This parental consent and waiver form grants permission for a daughter to participate in a school activity visiting a medical center. The activity will take place under the guidance of the University of Batangas faculty. It will occur on October 17th at the Kaleidoscope Therapy and Learning Center from 8-10:30 AM. The parent agrees to remain responsible for their daughter and hold the university harmless from any claims arising from injury or illness during the activity. The parent acknowledges understanding the consent and waiver terms.

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    © All Rights Reserved
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    Parental Consent and Waiver Form

    Uploaded by

    Jhudith De Julio Buhay
    3K views3 pages
    This parental consent and waiver form grants permission for a daughter to participate in a school activity visiting a medical center. The activity will take place under the guidance of the University of Batangas faculty. It will occur on October 17th at the Kaleidoscope Therapy and Learning Center from 8-10:30 AM. The parent agrees to remain responsible for their daughter and hold the university harmless from any claims arising from injury or illness during the activity. The parent acknowledges understanding the consent and waiver terms.

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    This parental consent and waiver form grants permission for a daughter to participate in a school activity visiting a medical center. The activity will take place under the guidance of the University of Batangas faculty. It will occur on October 17th at the Kaleidoscope Therapy and Learning Center from 8-10:30 AM. The parent agrees to remain responsible for their daughter and hold the university harmless from any claims arising from injury or illness during the activity. The parent acknowledges understanding the consent and waiver terms.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views3 pages

    Parental Consent and Waiver Form

    Uploaded by

    Jhudith De Julio Buhay
    This parental consent and waiver form grants permission for a daughter to participate in a school activity visiting a medical center. The activity will take place under the guidance of the University of Batangas faculty. It will occur on October 17th at the Kaleidoscope Therapy and Learning Center from 8-10:30 AM. The parent agrees to remain responsible for their daughter and hold the university harmless from any claims arising from injury or illness during the activity. The parent acknowledges understanding the consent and waiver terms.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    The document discusses two parental consent forms for school activities that require a parent's permission and waiver of liability.

    The parental consent form grants permission for a daughter to participate in a school activity and waives the parent's right to hold the school liable for any injuries or damages.

    The activity on October 17 will take place at Kaleidoscope Therapy and Learning Center.

    PARENTAL CONSENT AND WAIVER FORM

    I,____________________________grant
    permission
    for
    my
    daughter,
    __________________________, to participate in the school activity of visiting center. This
    activity will take place under the guidance and direction of the faculty of College of
    Allied Medical Sciences University of Batangas.
    Description:
    Location
    Date
    Time
    Leave
    Return

    :
    :

    St. Patrick Medical Hospital


    October 03, 2016
    :
    :

    9:00
    11:30

    I, as parent and/or legal guardian, remain legally responsible for any personal
    actions taken by the above named participant.
    I agree on behalf of myself, my child name herein, or our heirs, successors and
    assigns, to hold harmless and defend University of Batangas, its officers, directors
    and agents, employees, faculty, or representatives associated with the event, from
    any and all actions, claims, demands, damages, costs, expenses and all
    consequential damage arising from or in connection with my child attending the
    event or in connection with any illness or injury or cost of medical treatment in
    connection therewith.
    In signing the Parental Consent and Waiver, I am not relying any oral or written
    representation or statements made by the university, andt its officers, directors and
    agents, employees, faculty or representatives associated with the event, to induce
    me to permit my student to join the activity, other than those set out in this Consent
    and Waiver.
    I have read and understand the terms of this consent and waiver, and recognize
    that it is binding upon me.

    ________________________________
    Parent/Guardian over Printed Name
    Home Address:_____________________________________
    Contact No(s): _____________________________________

    __________________________
    Date

    PARENTAL CONSENT AND WAIVER FORM


    I,____________________________grant
    permission
    for
    my
    daughter,
    __________________________, to participate in the school activity of visiting center. This
    activity will take place under the guidance and direction of the faculty of College of
    Allied Medical Sciences University of Batangas.
    Description:
    Location
    Center
    Date
    Time
    Leave
    Return

    Kaleidoscope

    October 17, 2016


    :
    :

    Therapy

    and

    Learning

    8:00
    10:30

    I, as parent and/or legal guardian, remain legally responsible for any personal
    actions taken by the above named participant.
    I agree on behalf of myself, my child name herein, or our heirs, successors and
    assigns, to hold harmless and defend University of Batangas, its officers, directors
    and agents, employees, faculty, or representatives associated with the event, from
    any and all actions, claims, demands, damages, costs, expenses and all
    consequential damage arising from or in connection with my child attending the
    event or in connection with any illness or injury or cost of medical treatment in
    connection therewith.
    In signing the Parental Consent and Waiver, I am not relying any oral or written
    representation or statements made by the university, andt its officers, directors and
    agents, employees, faculty or representatives associated with the event, to induce
    me to permit my student to join the activity, other than those set out in this Consent
    and Waiver.
    I have read and understand the terms of this consent and waiver, and recognize
    that it is binding upon me.

    ________________________________
    Parent/Guardian over Printed Name

    __________________________
    Date

    Home
    Address:_____________________________________
    Contact No(s): _____________________________________

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