Natcon Parental Consent and Waiver
Natcon Parental Consent and Waiver
Natcon Parental Consent and Waiver
I, as a parent and/or legal guardian, remain legally responsible for any personal actions taken by the above
named participant.
I agree on my behalf, my child named herein, or our heirs, successors and assigns, to hold harmless and
defent the Association of Philippine Medical Colleges, Incorporated, its trustees, officers, staff,
employees, and agents form any or all actions, claims, demands, costs, expenses and all consequential
damage arising from or in connection with my child attending the event or in connection with any illness
or injury or cost of medical treatment in connection therewith.
In signing the Parental Consent form, I am not relying on any oral or written representation or statements
made by the university and its trustees, officers, staff, employees, and agents, to induce me to permit my
student to take the trip, other than those set out in this consent and waiver.
I am 18 years of age or more and have read and understood the terms of this consent and waiver, and
recognize that it is binding upon me, my heirs, executors, and administrators.
________________________________________ __________________________
Parent/Guardian signature over printed name Date
There are requirements for the approval of the APMC-SN activity, and for me joining
voluntarily/freely the activity, I am aware of the requirements and that the APMC-SN and/or its offices
have complied with it.
I have read this waiver of liability and have fully understood its terms,. I acknowledge that I am
signing the same freely and voluntarily, and by affixing my signature, it is a complete and unconditional
waiver of all liability to the greatest extent allowed by law.
______________________________________
Signature above printed name of participant
______________________________________
Signature above printed name of parent
Permitting/consenting participation