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Waiver Parent Final

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43 views1 page

Waiver Parent Final

jzjz

Uploaded by

nonononoway
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PAMANTASAN NG LUNGSOD NG MAYNILA

(University of the City of Manila)


Intramuros, Manila

Office of Student Development and Services


WAIVER FORM A
Name of Approved
Activity
Date and Time

Venue/s

Name of Adviser

This is certify that I allow my son/daughter/ward, ,a

student from the , with student


number to join the on at
.

I voluntarily and knowingly waive all rights and causes of actions against Pamantasan ng Lungsod ng Maynila, its
faculty members, employees, officials and administrators, except for liabilities arising from injuries and damages
caused by gross negligence on the part of the university.

I further certify that I allow my son/daughter/ward to contribute for the said undertaking.

In case of emergency, please contact:

Signature over Printed Name

Relationship to the Student

Date

Attachments
Copy of signatory’s identification card with signature
Copy of affidavit of guardianship (for guardians)

To be accomplished by Adviser
Received by

Date and time received

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