New - WAIVER AND RELEASE FROM LIABILITY

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

BATANG PINOY 2022

04
PARENTAL CONSENT, WAIVER & RELEASE

I/We ____________________________ and ______________________________, the parents/legal


guardians of the participant ______________________________, Filipino citizens and with address
at __________________________________ __________________________________________ hereby
declare under oath:

1. I/We give Full Consent for our child/ward __________________________________


(“The Participant”) to participate in the Batang Pinoy 2022 (hereinafter called
“The Tournament”) to be held on 04-10 December 2022 in Vigan City, Ilocos Sur.
2. To the best of my/our knowledge, our child/ward __________________________________ is in
good physical condition and I/we am/are not aware of any physical infirmity that would
place my/our child/ward at risk in participation in any way with “The Tournament”.
3. I/We am/are fully aware of the risks and hazards connected with all tournament activities,
including the travel to-and-from “The Tournament”.
4. I/We voluntarily assume full responsibility for any risk, loss, property damage, or personal
injury that may be sustained by my/our child, arising out or in connection with the
participation of our child/ward in “The Tournament”, and hereby agree to indemnify, hold
harmless and release the PHILIPPINE SPORTS COMMISSION from any liability or damage,
or cost or cause of action that may accrue related to my/our child in the conduct of the said
national games.
5. During the period of “The Tournament”, I/we hereby give permission of the assigned
medical personnel, assistant or first-aid practitioner to administer appropriate medical
attention to my/our child/ward in the event of any accident, illness or injury.
6. I/We understand that the PHILIPPINE SPORTS COMMISSION shall take appropriate and
reasonable safety precautions and measures to help ensure the safety of my/our child/ward
during “The Tournament”.
7. It is my/our intent that this Waiver of Liability, Hold Harmless Agreement, and Consent to
Medical Treatment shall bind members of my family, heirs and assigns and shall be
deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE.
8. I/We acknowledge and represent that I/we have read and understood this document and
sign it voluntarily; I/we am/are at least eighteen (18) years of age and fully competent; and
I/we execute this release for full, adequate and complete consideration and fully intending
to be bound by the same.

Signed this _____ day of ___________ 2022 at _________________________, Philippines.

__________________________________ __________________________________
Print Name Signature

__________________________________ __________________________________
Print Name Signature

__________________________________ __________________________________
Date Athlete’s Name

IN CASE OF EMERGENCY
NAME :
RELATIONSHIP :
CONTACT NUMBER :

*Please attach one (1) valid identification card per parent/guardian

You might also like