SSG Waiver

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Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Abra
ABRA HIGH SCHOOL
Bangued, Abra

SUPREME STUDENT LEARNERS’ GOVERNMENT ORGANIZATION


PARENTAL CONSENT AGREEMENT

Name of Participant
Club or Organization

Position
Activity Preparation for the MAKILAOK: Org Fair

Date September 17, 2023, 1:30 pm

I/we hereby acknowledge that sufficient information has been provided to my school and adviser
with respect to the planned activity, duration, location, participation, and supervision.

I/we hereby acknowledge that certain risks of injury are inherent to participate in learning activities
the school. These types of injuries may be minor and may result from one’s actions or inaction of others, or
a combination of both.

I/we read the rules and regulations for the activity and agree that they are designed for the safety and
protection of the participants and hereby undertake to inform my child to abide by these rules and regulation.

I/we understand that; A minimum level of fitness and health (physical, mental, and emotional) is
required; and each person has a different capacity for participation.

I/we declare having read and understood the above agreement in it’s entirely and hereby consent to
allow my/our child to participate, acknowledging all of the foregoing.

______________________________________ _________________________________
Name of Parent/Guardian and Signature /date Student name and signature/ date

CRISA JUHAN A. BRINGAS Maria Dolores. B. Martinez/Anabel V. Querubin


SSLG President SSLG ADVISER/S

SIMPLICIO B. BENAS LINO V. QUEZA


Department Head Principal II

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