Waiver for Off Campus Activities (1)
Content
De La Salle Health Sciences Institute
OFFICE of STUDENT SERVICES
DATE FILED (MM/DD/YY) To the Office of Student Services, As parent/guardian of
Last name, First Name, M.I
,
Course Yr Section
I allow my son/daughter to join and participate in the DETAILS OF THE ACTIVITY Unit Sponsoring Activity Description of the Activity
3rd
Provincial Campus Conference
Objectives of the Activity
Date & Place of Activity Time and Place of Departure Time and Place of Arrival Faculty/Adviser Contact Number
Together with my child, I know that the University and its officers, faculty and staff are expected to exercise the legal diligence and required for the safety and well-being of my child for the duration and the place, date and time of activity as stated. This legal diligence would include oral/or written instruction, whether given before or during the activity, that if followed, would ensure the safety of my child. If my child disregards or fails to follow those instructions or should act on his/her own, I together with my child, shall have no claims against the University, its officers, faculty advisers, staff-in-charge should any damage be caused or liability be incurred to property or person. Remarks:
Very truly yours,
(Printed Name of Guardian/Parent) (Signature) (Telephone Number)
(Printed Name of Student)
(Signature)
(Telephone Number)
For the student concerned: 1. Please accomplish in duplicate. Note: To be submitted to the Office of Student Services at least three days before scheduled activity.
STUDENT ACTIVITIES: WAIVER FOR OFF CAMPUS
Youth For Christ-Campus Based The event‘s theme is “Level-Up” and it shall be composed of a Eucharistic celebration, sports competition, creative competition (e.g Set dance, Individual dance, Show Choir, Gag, Band), a talk Proper from different campuses and will be ended by a Praisefest and raffle draw. *There will be a registration fee of Php 50.00. For security reasons, attendees will not be allowed to go out of the venue during the activity. Concessionaires will be on hand to provide food and snacks. To select the students that excels in creatives and sports in creatives and sports competition which shall represent YFC Campus based in the upcoming provincial youth conference on September 2, 2012. th To celebrate the 11 anniversary of YFC campus based Cavite. To share camaraderie with other campuses. August 05, 2012; Paliparan Elementary School 7:30; DLSHSI 8:00; Paliparan Elementary School Mr. Nigel Fabular 0916-663-41-05
OFFICE of STUDENT SERVICES
DATE FILED (MM/DD/YY) To the Office of Student Services, As parent/guardian of
Last name, First Name, M.I
,
Course Yr Section
I allow my son/daughter to join and participate in the DETAILS OF THE ACTIVITY Unit Sponsoring Activity Description of the Activity
3rd
Provincial Campus Conference
Objectives of the Activity
Date & Place of Activity Time and Place of Departure Time and Place of Arrival Faculty/Adviser Contact Number
Together with my child, I know that the University and its officers, faculty and staff are expected to exercise the legal diligence and required for the safety and well-being of my child for the duration and the place, date and time of activity as stated. This legal diligence would include oral/or written instruction, whether given before or during the activity, that if followed, would ensure the safety of my child. If my child disregards or fails to follow those instructions or should act on his/her own, I together with my child, shall have no claims against the University, its officers, faculty advisers, staff-in-charge should any damage be caused or liability be incurred to property or person. Remarks:
Very truly yours,
(Printed Name of Guardian/Parent) (Signature) (Telephone Number)
(Printed Name of Student)
(Signature)
(Telephone Number)
For the student concerned: 1. Please accomplish in duplicate. Note: To be submitted to the Office of Student Services at least three days before scheduled activity.
STUDENT ACTIVITIES: WAIVER FOR OFF CAMPUS
Youth For Christ-Campus Based The event‘s theme is “Level-Up” and it shall be composed of a Eucharistic celebration, sports competition, creative competition (e.g Set dance, Individual dance, Show Choir, Gag, Band), a talk Proper from different campuses and will be ended by a Praisefest and raffle draw. *There will be a registration fee of Php 50.00. For security reasons, attendees will not be allowed to go out of the venue during the activity. Concessionaires will be on hand to provide food and snacks. To select the students that excels in creatives and sports in creatives and sports competition which shall represent YFC Campus based in the upcoming provincial youth conference on September 2, 2012. th To celebrate the 11 anniversary of YFC campus based Cavite. To share camaraderie with other campuses. August 05, 2012; Paliparan Elementary School 7:30; DLSHSI 8:00; Paliparan Elementary School Mr. Nigel Fabular 0916-663-41-05
