Ateneo de Zamboanga University

Office of Student Affairs

PARENTS CONSENT AND WAIVER FORM

WAIVER
I,
____________________________________________________
a
____________________
student of
Ateneo
de
Zamboanga
University
will
attend
the
_______________________________________ __________________________________________at
the _____________________________________
on _______________________. I fully understand the circumstances of joining and
attending the event.
Therefore, I do hereby waive any liability, of whatever nature, be it civil, criminal or
administrative against the Ateneo de Zamboanga University and all concerned
authorities for any untoward incident or any harm that should befall me during my
participation in the event.
__________________________________
Students Name and Signature

***
CONSENT
I/We___________________________________
__________________________________
(Name of Parents/ Guardian)
Student)

parents/s

of
(Name of

do
hereby
grant
permission
for
his/her
participation
in
____________________________________
___________________________________________________
______________________________.
I/We voluntarily waive our rights to claim against the concerned authorities
school of whatever nature, be it civil, criminal or administrative. Should
untoward incident befall our son/daughter in the course of his/her participation
during his travel to and from the said event.

the
on
and
any
and

__________________________________
Parents/Guardians Name and Signature

NOTE: Any forgery on the Parents Consent and Waiver Form is considered very serious offense as
stipulated in the Students College Handbook and may result to expulsion.