Band Practice Waiver and Consent

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Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF SOUTHERN LEYTE
LIBAGON DISTRICT
LIBAGON NATIONAL HIGH SCHOOL
JUBAS, LIBAGON, SOUTHERN LEYTE
__________________________________________________________________________________
LNHS DRUMS & LYRE CORPS SCHEDULE AGREEMENT AND
LIABILITY WAIVER
I _____________________________ (name of parent), the undersigned, am fully
aware and accept the Schedules of the School Band practice, as agreed upon by all
the parents of the band members who attended the General Assembly held on
December 1, 2022 in LNHS Computer Laboratory, Brgy. Jubas, Libagon, Southern
Leyte, as follows:
1. December 2, 2022 - from 8:00 a.m. to 5:00 p.m.* (Friday)
2. December 3, 2022 - from 8:00 a.m. to 5:00 p.m.* (Saturday)
3. December 4, 2022 - from 8:00 a.m. to 5:00 p.m.* (Sunday)
4. December 5, 2022 - from 8:00 a.m. to 5:00 p.m.* (Monday)
5. December 6, 2022 - from 8:00 a.m. to 5:00 p.m.* (Tuesday)

*May be subjected to change upon prior notice

I fully understand that by signing this agreement, I am allowing my son/daughter


________________________________ (name of son/daughter) attend the
aforementioned schedule of School Band practice as stated above due to limited
time available for them to master the band execution. Moreover, by signing this
agreement, I am fully aware that for the following dates, December 2, 2022;
December 5, 2022, December 6, 2022, my son/daughter will be excused from
his/her classes with assurance that he/she will be provided with maximum
consideration and time in complying all the performance tasks and/or other academic
requirements.
Hence, by signing this waiver, I recognize that I am giving my full consent to my child
to attend the band practice, thereby making the Libagon National High School as
an institution, including all its teaching and non-teaching force, be not subjected to
any complaints, either administrative or any legal predicaments which may arise due
to unintentional disruption of classes due to School Band Showdown.

_____________________________________________

Address: Brgy. Jubas, Libagon, Southern Leyte


Telephone No: +639175025937
Email Address: [email protected]
Republic of the Philippines
Department of Education
REGION VIII
SCHOOLS DIVISION OF SOUTHERN LEYTE
LIBAGON DISTRICT
LIBAGON NATIONAL HIGH SCHOOL
JUBAS, LIBAGON, SOUTHERN LEYTE
__________________________________________________________________________________
Parent’s Name and Signature

PARENTAL/GUARDIAN’S CONSENT

I _____________________________________, the band member’s parent and/or


legal guardian, allow my son/daughter to undergo on the Agreed Schedules of
School Band Practice starting DECEMBER 2, 2022 until DECEMBER 6, 2022 at
the following venues: Barangay Otikon Covered Court, Barangay Tigbao Boulevard,
and Libagon Rizal Plaza in fulfillment for the approaching SCHOOL BAND
SHOWDOWN to be held on DECEMBER 8, 2022 in celebration for the Feast Day of
Immaculate Conception. It is understood that my son/daughter abides by the Safety
Rules and Regulations that will be imposed by the School Band Coordinators.
I also agree that while all precautions, including the standard health and safety
protocols will be taken by the School Band Coordinators, I will not hold the LNHS or
any of its personnel responsible in case of any untoward incident that may happen
during the duration of the School Band Practice.

__________________________________________
Parent/Guardian’s Name and Signature

Address: Brgy. Jubas, Libagon, Southern Leyte


Telephone No: +639175025937
Email Address: [email protected]

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