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    Parental Waiver and Consent Form

    Uploaded by

    Jymaer Geromo
    This parental waiver form gives consent for a child named to participate in a designated sport and travel related activities. It acknowledges risks of injury but agrees to assume them. The parent certifies the child is capable of participating and has no physical or mental limitations, except those listed. In addition, the parent waives liability for any injury of the child from participating in the sport or related activities, whether from negligence or other causes.

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    Parental Waiver and Consent Form

    Uploaded by

    Jymaer Geromo
    46 views3 pages
    This parental waiver form gives consent for a child named to participate in a designated sport and travel related activities. It acknowledges risks of injury but agrees to assume them. The parent certifies the child is capable of participating and has no physical or mental limitations, except those listed. In addition, the parent waives liability for any injury of the child from participating in the sport or related activities, whether from negligence or other causes.

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    This parental waiver form gives consent for a child named to participate in a designated sport and travel related activities. It acknowledges risks of injury but agrees to assume them. The parent certifies the child is capable of participating and has no physical or mental limitations, except those listed. In addition, the parent waives liability for any injury of the child from participating in the sport or related activities, whether from negligence or other causes.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    46 views3 pages

    Parental Waiver and Consent Form

    Uploaded by

    Jymaer Geromo
    This parental waiver form gives consent for a child named to participate in a designated sport and travel related activities. It acknowledges risks of injury but agrees to assume them. The parent certifies the child is capable of participating and has no physical or mental limitations, except those listed. In addition, the parent waives liability for any injury of the child from participating in the sport or related activities, whether from negligence or other causes.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    PARENTAL WAIVER AND CONSENT FORM

    As the parent or legal guardian of the child named below, I hereby give my full
    consent and approval for my child to participate as a team member in the sport
    designated below.

    I understand that there are certain risks of injury inherent in the practice and play
    of this sport, as well as in traveling and other related activities incidental to my
    child’s participation, and I am willing to assume these risks on behalf of my child.
    I hereby certify that my child is fully capable of participating in the designated
    sport and that my child is healthy and has no physical or mental disabilities or
    conditions that would restrict full participation in these activities, except as listed
    below.

    In addition to giving my full consent for my child’s participation, I do hereby


    waive, release and hold harmless The Chetek Bulldog Booster Club, its officers,
    coaches, sponsors, supervisors, and representatives for any injury that may be
    suffered by my child in the normal course of participation in the designated sport
    and the activities incidental thereto, whether the result of negligence or any other
    cause.

    Name of Child: DOB:

    Address/City/State:

    List of any physical limitations:

    Parent/Guardian Signature:

    Date:

    Designated Sport:

    REPUBLIC OF THE PHILIPPINES


    Department of Education
    REGION XI
    Schools Division of Digos City
    GOMA NATIONAL HIGH SCHOOL
    School ID: 301906
    Napan, Brgy.Goma, Digos City

    PARENTAL WAIVER AND CONSENT FORM

    Ako ang ginikanan o legal nga tigbantay sa bata nga


    ginganlan sa ubos, ako naghatag sa akong hingpit nga pag-tugot
    alang sa akong anak nga magdala ug magdrive sa motor sulod
    ug gawas sa eskwelahan.

    Akong nasabtan nga adunay mga risgo sa kadaot sa


    pagdrive ug pagdala sa motor, ingon man usab sa pagbiyahe ,
    ug ako andam nga modawat niini nga mga risgo alang sa akong
    anak.

    Gawas pa sa paghatag sa akong hingpit nga pag-tugot


    alang sa pag-drive ug pagdala ug motor sa sulod ug gawas sa
    eskwelahan, gihimo ko kini para mapadali ang pag-adto sa akong
    anak sa eskwelahan.

    Ngalan sa Bata: _______________________________

    Address :______________________________________

    Pirma sa Ginikanan / Tigbantay:

    ______________________________
    Pangalan sa Ginikanan

    Conforme:
    RIZZA L. VILLALUNA,EdD
    School Head

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