UPDATED-PARENTAL-WAIVER-AND-CONSENT-FORM

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COLLEGE OF CRIMINAL JUSTICE

PARENTAL WAIVER AND CONSENT FORM

As the parent or legal guardian of the student named below, I hereby give my full consent and
approval for my son/daughter to participate as a team member in the activity designated
below.

Designated Activity

Date of Activity Place of Activity

I understand that there are certain risks of injury inherent with participating in this activity, as
well as in traveling and other related activities incidental to my son’s/daughter’s participation,
and I am willing to assume these risks on behalf of my son/daughter. I hereby certify that my
son/daughter is fully capable of participating in the designated activity and that my
son/daughter is healthy and has no physical or mental disabilities or infirmities that would
restrict full participation in these activities, except as listed below.

Please list any physical limitations (allergies, hearing, sight, etc.):

In addition to giving my full consent for my son’s/daughter’s participation, I do hereby waive,


release, and hold harmless the organization below, its officers/organizers, and representatives
for any injury that may be suffered by my son/daughter in the normal course of participation in the
designated activity and other related activities incidental thereto, whether the result of negligence
or any other cause.

Universidad de Manila
Name of Organization

Name and Signature of Name and Signature of Parent/Legal


Student Guardian
Date Date

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