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    WWW - Batstate-U.edu - PH: Signature of Students Parent/Guardian & Contact No

    Uploaded by

    Dave Bunquin
    This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    WWW - Batstate-U.edu - PH: Signature of Students Parent/Guardian & Contact No

    Uploaded by

    Dave Bunquin
    37 views1 page
    This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

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    Original Title

    Waiver-3

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    This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    37 views1 page

    WWW - Batstate-U.edu - PH: Signature of Students Parent/Guardian & Contact No

    Uploaded by

    Dave Bunquin
    This waiver document is for an Instrumentation and Control Engineering student at Batangas State University joining an acquaintance/team building and sportsfest event from August 21-23, 2015. By signing, the student renounces any claim against the school/establishment for injuries suffered during the event. The student also agrees to be liable for any damages to property or injuries to third parties caused during the event. The document must be signed by the student, parent/guardian, and representatives from the Instrumentation and Control Engineering department and College of Engineering, Architecture and Fine Arts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    BATANGAS STATE UNIVERSITY

    College of Engineering, Architecture and Fine Arts


    Gov. Pablo Borbon Campus II, Alangilan, Batangas City, Philippines 4200
    www.batstate-u.edu.ph
    Telefax: (043) 300-4404 locs. 106-118
    Association of Instrumentation and Control Engineering Students
    WAIVER
    I, _______________________________, a bonafide Instrumentation and Control Engineering Student of
    Batangas State University with student number _____________ do hereby voluntarily join the Acquaintance/Team
    Building and Sportsfest in Bluroze, Brgy, Ludlod, Lipa and Marian Learning Center and Science High School,
    AlangilanBatangas on August 21-23, 2015 under the following terms and conditions:
    1. That I shall renounce and waive any claim against the school/establishment for any injury or accident that I may
    suffer; and
    2. That I shall be answerable for any liabilities for damages to property or injury to third person/s which may be
    caused by me intentionally or inadvertently while in the course of this activity.
    ____________________________________
    Signature of Students
    Engr. JANICE F. PERALTA
    Co-Adviser, AICES

    ____________________________________
    Parent/Guardian & Contact No.
    ENGR. DIVINA GRACIA D. RONQUILLO
    Chairman, ECE/ICE/MEXE Department

    DR. ELISA D. GUTIERREZ


    Executive Director/Dean, CEAFA

    BATANGAS STATE UNIVERSITY


    College of Engineering, Architecture and Fine Arts
    Gov. Pablo Borbon Campus II, Alangilan, Batangas City, Philippines 4200
    www.batstate-u.edu.ph
    Telefax: (043) 300-4404 locs. 106-118
    Association of Instrumentation and Control Engineering Students
    WAIVER
    I, _______________________________, a bonafide Instrumentation and Control Engineering Student of
    Batangas State University with student number _____________ do hereby voluntarily join the Acquaintance/Team
    Building and Sportsfest in Bluroze, Brgy, Ludlod, Lipa and Marian Learning Center and Science High School,
    AlangilanBatangas on August 21-23, 2015 under the following terms and conditions:
    1. That I shall renounce and waive any claim against the school/establishment for any injury or accident that I may
    suffer; and
    2. That I shall be answerable for any liabilities for damages to property or injury to third person/s which may be
    caused by me intentionally or inadvertently while in the course of this activity.
    _________________________________
    Signature of Students
    ENGR. JANICE F. PERALTA
    Co-Adviser, AICES

    ____________________________________
    Parent/Guardian & Contact No.
    ENGR. DIVINA GRACIA D. RONQUILLO
    Chairman, ECE/ICE/MEXE Department

    DR. ELISA D. GUTIERREZ


    Executive Director/Dean, CEAFA

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