WAIVER FORM

am

allowing

son/daughter, _______________________________________________, from

, to join and participate in:
(University/College/School)

Sponsoring unit:
Title of activity:
Nature of activity:
Date of activity:
Time of activity:
Venue:
Staff-in-charge:

my

PHILIPPINE JUNIOR MARKETING ASSOCIATION

JUAN BIG IDEA: A VOYAGE TOWARDS MARKETING EMINENCE, South Luzon Edition
Seminar
August 16, 2015
Registration: 8:00AM
Event proper: 9:00AM-4PM
Manuel S. Enverga University Foundation Gymnasium, Quezon Province
Ralph Raymond C. Gonzales
Vice President for Chapters
Project Head for Juan Big Idea

Together with my child, I know that the organization and its officers 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 organization and its officers should any damage be caused or liability
be incurred to any property or person.

Signature above printed name

of parent/guardian

Signature above printed name

of student

Date

Date
Whom to contact in case of emergency

Name:
Relationship with the student:
Contact details:
Address: