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  • DLSU Waiver Form

    Uploaded by

    Mhykl Nieves-Huxley
    182 views1 page
    If you're from De La Salle University and are wondering what the waiver form looks like, here's an unofficial copy. *This isn't the actual waiver form given out by the school. It's just an idea of the form

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    If you're from De La Salle University and are wondering what the waiver form looks like, here's an unofficial copy. *This isn't the actual waiver form given out by the school. It's just an idea of the form

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    182 views1 page

    DLSU Waiver Form

    Uploaded by

    Mhykl Nieves-Huxley
    If you're from De La Salle University and are wondering what the waiver form looks like, here's an unofficial copy. *This isn't the actual waiver form given out by the school. It's just an idea of the form

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    WAIVER FORM FOR UNDERGRADUATE STUDENTS

    FOR OFF-CAMPUS ACTIVITIES


    I am allowing my son/daughter, _______________________________________, with ID
    number ________________, from the College of _______________________________________,
    to join and participate in:
    Sponsoring unit: _______________________________________________________
    Title of activity: ________________________________________________________
    Nature of activity: _____________________________________________________
    Date of activity: ________________________________________________________
    Time of activity: _______________________________________________________
    Venue and address of activity: _________________________________________
    ________________________________________________________________________
    Staff-in-charge: ________________________________________________________
    Together with my child, I know that the University 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.
    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 University, its officers,
    faculty, staff-in-charge should any damage be caused or liability be incurred to
    property or person.
    ____________________________________
    Signature above printed name
    of parent/guardian

    ____________________________________
    Signature above printed name
    of student

    ____________________________________
    Date

    ____________________________________
    Date

    PERMISSION TO DROP OFF STUDENT NEAR RESIDENCE


    To the faculty/staff-in-charge,
    Please allow my son/daughter, ____________________________________, to get off at
    ________________________________________________________________, which is near our
    place of residence, after the _________________________________________ activity. Please
    be assured that my son/daughter shall take full responsibility of him/herself upon
    disembarking your designated transportation.
    ______________________________________
    Parents signature above printed name

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