WAIVER FORM FOR STUDENTS WHILE ON
IN-CAMPUS / OFF-CAMPUS ACTIVITY
_______________
Date
As parent/guardian of _________________________________________________ of ________________________________
(Name) (Grade & Section)
with ID No. ________________________, I allow my son/daughter to join and participate in:
Department/Unit
Sponsoring SENIOR HIGH SCHOOL DEPARTMENT
Activity:
Nature of Activity: 4TH SENIOR HIGH SCHOOL RESEARCH CONGRESS
Place of Activity: MANILA CATHEDRAL SCHOOL LIBRARY
Date & Time of MARCH 21, 2025- 7:30 AM TO 11:30AM
Activity:
Staff-in-charge: SENIOR HIGH SCHOOL DEPARTMENT AND QADPC OFFICE
Together with my child, I know that the school and its officers, faculty, and staff 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. For that reason, I had meticulously reminded my child
to follow all these school instructions for his/her safety during the entire off-campus activity.
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 claim against the school, its officers, administrators, teachers, adviser, or staff-in-
charge should there be any damage caused, or liability incurred to property or person.
Should you have questions and/or concerns about the said activity, please contact us via
[email protected] or you may reach us through 8252 39 21.
Very truly yours, Noted by:
_____________________________________ _____________________________________
PRINTED NAME & SIGNATURE OF MRS. AVEGAIL A. OPTANA
PARENT/GUARDIAN SHS COORDINATOR
CONTACT NUMBER/S: __________________ ____________________________________
MR. DARWIN S. MIJARES
_____________________________________ SHS COORDINATOR
PRINTED NAME & SIGNATURE OF STUDENT
_____________________________________
MRS. LUCILE ARIETTE A. BAUTISTA
ASST. HIGH SCHOOL PRINCIPAL
_____________________________________
MRS. ELIZABETH V. PASTOR
GRADE SCHOOL PRINCIPAL