Scribd
Upload
17 views

5th La Liga Lideristas Waiver Form

This waiver form from Laguna State Polytechnic University concerns a student activity from May 6-8, 2023. The parent and student acknowledge that the university will exercise due diligence for student safety but are not liable for any incidents if instructions are not followed. By signing, the parent and student waive any claims against the school, faculty, or staff for any damages or liability arising from the student's participation in the 5th La Liga Lideristas event on campus.

Uploaded by

Alto Gaming
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
17 views

5th La Liga Lideristas Waiver Form

This waiver form from Laguna State Polytechnic University concerns a student activity from May 6-8, 2023. The parent and student acknowledge that the university will exercise due diligence for student safety but are not liable for any incidents if instructions are not followed. By signing, the parent and student waive any claims against the school, faculty, or staff for any damages or liability arising from the student's participation in the 5th La Liga Lideristas event on campus.

Uploaded by

Alto Gaming
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines

Laguna State Polytechnic University


Province of Laguna
WAIVER
Date: _______________
To whom it may concern:
As the parent/guardian of ___________________________________________________________
(Name of Student)
Department/Unit Sponsoring Activity: SUPREME STUDENT COUNCIL
Nature of Activity : 5TH LA LIGA LIDERISTAS
Date of Activity : MAY 6-8, 2023
Place of Activity : LAGUNA STATE POLYTECHNIC UNIVERSITY – SAN PABLO CITY CAMPUS
Time of Activity : N/A
Faculty/Adviser/Staff-in-Charge: MR. JOHN RICHARD P. JAURIGE
Together with my child, I know that Laguna State Polytechnic University and its officers, faculty, and staffs are
expected to exercise the legal diligence required for the safety and well-being of my child for the duration and the place,
date and time of the activity as stated.
This legal diligence would include oral or written instructions 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 school, its officers, faculty, adviser, staff-in-charge should any damage be caused or liability
be incurred to property or person.
Respectfully yours,
____________________________________ Contact number: _________________
Signature over Printed Name
of Parent/Guardian
____________________________________ Contact number: _________________
Signature over Printed Name
of Student

LSPU-OSAS-SF-010 Rev.0 10 August 2016

Student Copy
Republic of the Philippines
Laguna State Polytechnic University
Province of Laguna
WAIVER
Date: _______________
To whom it may concern:
As the parent/guardian of __________________________________________________________
(Name of Student)
Department/Unit Sponsoring Activity: SUPREME STUDENT COUNCIL
Nature of Activity : 5TH LA LIGA LIDERISTAS
Date of Activity : MAY 6-8, 2023
Place of Activity : LAGUNA STATE POLYTECHNIC UNIVERSITY – SAN PABLO CITY CAMPUS
Time of Activity : N/A
Faculty/Adviser/Staff-in-Charge: MR. JOHN RICHARD P. JAURIGE
Together with my child, I know that Laguna State Polytechnic University and its officers, faculty, and staffs are
expected to exercise the legal diligence required for the safety and well-being of my child for the duration and the place,
date and time of the activity as stated.
This legal diligence would include oral or written instructions 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 school, its officers, faculty, adviser, staff-in-charge should any damage be caused or liability
be incurred to property or person.
Respectfully yours,
____________________________________ Contact number: _________________
Signature over Printed Name
of Parent/Guardian
____________________________________ Contact number: _________________
Signature over Printed Name
of Student

LSPU-OSAS-SF-010 Rev.0 10 August 2016

You might also like