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Waiver

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ysabellamacahiya
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4 views1 page

Waiver

Uploaded by

ysabellamacahiya
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
Download as docx, pdf, or txt
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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A Calabarzon
LIGHT OF HOPE CHRISTIAN ACADEMY

Parent Consent/Waiver Form for Participation in Outside Journalism Program


Eulogio Rodriguez Jr. Elementary School

Student Information:
Student Name: ___________________________
Grade: ___________

Program Details:
Program Name: Montalban Sub-Office Training in Campus Journalism for School Paper Advisers and
Campus Journalist in English and Filipino
Location: Eulogio Rodriguez Jr. Elementary School, Montalban, Rizal

Dates: September 19-20, 2024


Time: 8:00 am – 4:30 pm

Parent/Guardian Information:
Name: ___________________________________
Phone Number: ____________________________
Email: ___________________________________

I, the undersigned parent/guardian of the above-named student, give my consent for my


child to participate in the outside journalism program. I understand that the program will take
place away from Eulogio Rodriguez Jr. Elementary School and that transportation may be
provided by the school or parents.

I acknowledge that the school nor the organization will not be held accountable for any
unwanted occurrence or situations.

Emergency Contact: In case of an emergency, please contact:


Name: _______________________________
Phone Number: _______________________

I have read and understood this consent and waiver form. By signing below, I agree to
its terms.

Parent/Guardian Name: ________________________


Signature: ___________________________________
Date: ________________________________________

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