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    Natcon Parental Consent and Waiver

    Uploaded by

    Reyo Villanueva
    This document provides parental consent for a student to participate in the 3rd APMC-SN National Convention from February 7-9, 2020 at Silliman University in Dumaguete City. [1] The parent acknowledges legal responsibility for their child's actions at the event. [2] They also agree to not hold the Association of Philippine Medical Colleges legally responsible for any illness, injury, or costs that may occur from their child's participation. [3] The parent confirms they are over 18 and understand the terms of the consent and waiver.

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    © All Rights Reserved
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    Natcon Parental Consent and Waiver

    Uploaded by

    Reyo Villanueva
    53 views2 pages
    This document provides parental consent for a student to participate in the 3rd APMC-SN National Convention from February 7-9, 2020 at Silliman University in Dumaguete City. [1] The parent acknowledges legal responsibility for their child's actions at the event. [2] They also agree to not hold the Association of Philippine Medical Colleges legally responsible for any illness, injury, or costs that may occur from their child's participation. [3] The parent confirms they are over 18 and understand the terms of the consent and waiver.

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    NATCON-PARENTAL-CONSENT-AND-WAIVER

    Original Title

    NATCON-PARENTAL-CONSENT-AND-WAIVER

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    This document provides parental consent for a student to participate in the 3rd APMC-SN National Convention from February 7-9, 2020 at Silliman University in Dumaguete City. [1] The parent acknowledges legal responsibility for their child's actions at the event. [2] They also agree to not hold the Association of Philippine Medical Colleges legally responsible for any illness, injury, or costs that may occur from their child's participation. [3] The parent confirms they are over 18 and understand the terms of the consent and waiver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views2 pages

    Natcon Parental Consent and Waiver

    Uploaded by

    Reyo Villanueva
    This document provides parental consent for a student to participate in the 3rd APMC-SN National Convention from February 7-9, 2020 at Silliman University in Dumaguete City. [1] The parent acknowledges legal responsibility for their child's actions at the event. [2] They also agree to not hold the Association of Philippine Medical Colleges legally responsible for any illness, injury, or costs that may occur from their child's participation. [3] The parent confirms they are over 18 and understand the terms of the consent and waiver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PARENTAL CONSENT

    I, ___________________________________________________________, grant permission to my


    son/daughter, __________________________________________________________, a student from
    Manila Central University
    _____________________________________________________, to participate in the 3rd APMC-SN
    NATIONAL CONVENTION to be held on February 7-9, 2020 at Silliman University, Dumaguete
    City. This activity will take place under the guidance and direction of the officers of the Association of
    Philippine Medical Colleges – Student Network.

    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

    Home address: ___________________________________________________________________

    Contact no.: _____________________________________________________________________


    WAIVER
    APMC – STUDENT NETWORK ACTIVITY

    In consideration of my being permitted/consented by my parents/guardian to participate in the


    APMC STUDENT NETWORK (APMC –SN) activity, APMC-SN NATIONAL CONVENTION to
    be held on February 7-9, 2020 at Silliman University, Dumaguete City, which my participation in the
    activity is voluntary/freely on my part, I, for myself, heirs, parent/guardian/personal representatives do
    hereby release, waive, discharge and covenant not to sue, criminally, civilly or administratively, and
    desist from suing the ASSOCIATION OF PHILIPPINE MEDICAL COLLEGES, INC., its trustees,
    officers, staff, employees, and agents, from any and all claims of liability against risks and hazards,
    including negligence of its trustees, officers, staff, employees and/or agent, any form of physical injury,
    accidents, illness, and property loss or even death arising from or related to my participation in any and/or
    all of the above-mentioned activity.

    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.

    WITNESS MY HAND this _______ day of ___________________________, 2020 at


    MANILA CENTRAL UNIVERSITY
    _________________________________________.

    ______________________________________
    Signature above printed name of participant

    ______________________________________
    Signature above printed name of parent
    Permitting/consenting participation

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