Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
(University of the City of Manila)
Intramuros, Manila
Telefax No. 526-68-82
OFFICE OF THE STUDENT DEVELOPMENT AND SERVICES
COLLEGE
:
ACITIVITY
:
DATE
:
TIME
:
VENUE
:
REMARKS
:
______________________________________________________________________________
PARENTAL CONSENT
We allow our son/daughter _______________________________________________________
with Student Number ____________ from (College) _____________________________ _______ taking
up (degree program) _______________________________ join the ___________________________ on
______________________ at _______________________________________.
We voluntarily and knowingly waive all rights of actions against the school, its faculty
member/s. employees. officials, and administrators for any injury or damage, as well as costs,
expenses and liabilities which may incur during or as a result of the event / field trip.
In case of emergency:
Name of contact person
Relationship
Contact Number