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Student Waiver for School Activities

This document contains 4 parent/guardian consent forms from Boloboloc High School in Negros Oriental, Philippines. Each form requests permission for a student to participate in and try out for a school sports team, and includes a student waiver acknowledging and waiving rights to damages from potential injuries. The sports teams are: [1] volleyball - boys, [2] basketball - boys, [3] volleyball - girls, and [4] basketball - girls. The forms require signatures from both the student and their parent/guardian to provide consent and approve participation.

Uploaded by

Jiryl Alpuerto
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
328 views23 pages

Student Waiver for School Activities

This document contains 4 parent/guardian consent forms from Boloboloc High School in Negros Oriental, Philippines. Each form requests permission for a student to participate in and try out for a school sports team, and includes a student waiver acknowledging and waiving rights to damages from potential injuries. The sports teams are: [1] volleyball - boys, [2] basketball - boys, [3] volleyball - girls, and [4] basketball - girls. The forms require signatures from both the student and their parent/guardian to provide consent and approve participation.

Uploaded by

Jiryl Alpuerto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Volleyball – Boys tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Basketball - Boys tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Volleyball - Girls tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Basketball – Girls tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Athletics tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Badminton – Boys tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Badminton – Girls tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Boxing tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Arnis tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Table Tennis tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)
Republic of the Philippines
Department of Education
REGION VII – CENTRAL VISAYAS
SCHOOLS DIVISION OF NEGROS ORIENTAL
BOLOCBOLOC HIGH SCHOOL
BOLOCBOLOC, SIBULAN, NEGROS ORIENTAL

PARENT / GUARDIAN CONSENT REQUEST FORM


S.Y. 2023-2024
__________________
Date
TO WHOM IT MAY CONCERN:

Name of Son/Daughter/Ward

Name of Activity

Date of Activity

Venue

In-charge

This is to certify that I allow my son / daughter to join the Chess tryout.
Thank you very much!

Sincerely yours, APPROVED:

_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

STUDENT WAIVER

I, _______________________ presently enrolled in _______________________ present myself


to join the _______________________ as part of our school / student activity and do hereby
pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the teachers for
the protection and safety of all;

2. That I know in this activity I develop a sense of competence, sportsmanship and


camaraderie;

3. That I hereby waived and renounced my rights to all damages and I will not hold the
institution responsible for any misfortune, injury or accident that may happen beyond the
institution’s control, to my act of disobedience and negligence.

That the content of this waiver was understood by me and was read and explained to me before I
affix my name and signature this ________ day of __________freely and voluntarily.

Thank you very much!

Sincerely yours, APPROVED:


_______________________ _______________________
Name of Student Name of Parent / Guardian
(Signature-Over-Printed Name) (Signature-Over-Printed Name)

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