SAINT MICHAEL COLLEGE OF HINDANG, LEYTE, INC.
A. Bonifacio St. Poblacion 2, Hindang, Leyte
[email protected] PARENT’S CONSENT FORM
(Sports/Athletic Events, Off-Campus/Community Extension Programs)
STUDENT
Name of Student : _____________________________________
Grade / Year : _____________________________________
Section / Course : _____________________________________
Title of Activity : LINGGO NG KABATAAN 2019
Venue : HINDANG GYMNASIUM
Date : AUGUST 17, 2019
Time : 8:00 AM – 5:00 PM
Participants : SSG OFFICERS
Student’s Contact Number : __________________________
PARENTS
Parent / Guardian Full Name : ______________________________________
Parent / Guardian Signature : ______________________________________
Parent / Guardian Contact Number : ______________________________________
I/We do hereby grant permission for my son/daughter’s participation in the said event
stated above and voluntarily waive our rights to claim against the concerned authorities and
school of whatever nature, be it civil, criminal or administrative. Should any untoward incident
befall our son/daughter/ward in the course of his/her participation and during his travel to and
from the said event.
Submitted to:
JERALDINE R. ARCAYA ISABELITA C. BATICAN
Adviser Contact School Principal
Contact Number: 09978160462 Contact Number: 09661357493
Date: August 17, 2019 Date: August 17, 2019
NOTE: Please don’t crumpled this form and submit this to SAS days before the event.