CSG Cup S3 Parental Waiver

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

OSS Form 103F

1
(This form must be submitted to the Office of the Student Affairs for checking two (2) working days before the date of activity)

COLLEGE OF ST. JOHN – ROXAS


Member: Association of Lasallian Affiliated Schools (ALAS)
Gov. Atila Balgos, Ave., Brgy. Banica, Roxas City, Capiz

STATEMENT OF PARENTAL PERMISSION

Dear Parents/Guardians:

Your son/daughter has expressed his/her intentions of joining the:

FROSHIES NIGHT
(TITLE OF ACTIVITY OR EVENT)
Sponsored by the: College and College Prep Student Government
(NAME OF SPONSORING CLASS/ORGANIZATION)

To be held on July 13, 2019, 6:00pm – 10:30pm at College of St. John – Roxas, Covered Court
(DATE AND TIME OF ACTIVITY) (LOCATION: COMPLETE ADDRESS OF VENUE)

Should you allow your son/daughter to join the aforementioned activity, kindly fill-out the Reply Slip below and return

the same to Ria Jsane B. Briz of the College and College Prep Student Government
(NAME OF PRESIDENT/REPRESENTATIVES) (NAME OF ORGANIZATION/SECTION)

on or before July 08, 2019 with monetary contribution of : Php. 245.00.


(DEADLINE FOR SUBMISSION OF WAIVERS)

Rest assured that their Faculty Adviser will accompany them during the activity. Should there be a need for you

communicate with your son/daughter, kindly call: (0998) 982 8313


(CONTACT # OF ADVISER/MODERATOR)

Sincerely yours,

MA. TERESA MUÑOZ


SIGNATURE OVER PRINTED NAME OF THE MODERATOR/ FACULTY

Noted:

JOEY D. ARROYO, MA.Ed


SIGNATURE OVER PRINTED NAME OF THE
VICE CHANCELLOR FOR ACADEMICS AND RESEARCH, COLLEGE AND COLLEGE PREP DEAN

REPLY SLIP
I fully understand that this activity will help aid in and add to the total formation education of my child/ward. I
trust that the school authorities concerned shall observe precautionary measures to ensure their safety and
shall therefore not hold them liable for any untoward or unforeseen incident that shall happen, God forbid.

I pose no objection to the participation of my child,

______________________________________________________________________________________________
(NAME OF THE STUDENT)

in the FROSHIES NIGHT 2019, Sponsored by the College and College Prep Student Government, To
be held on JULY 13, 2019, 6:00pm – 10:30pm at COLLEGE OF ST. JOHN – ROXAS, COVERED COURT

I hereby give consent for him/her to take part in the said event.

_____________________________________________ _____________________________
SIGNATURE OVER PRITED NAME OF PARENT/GUARDIAN DATE

Contact # of Parent/Guardian: _____________________________________________________________________

Address: ______________________________________________________________________

Note: Filled-out Parental Consent should be checked by the Office for Student Affairs and kept by the Faculty
Adviser/. Students who did not submit their filled-out waivers shall not be allowed to join the off-campus
activity.

You might also like