Consent and Waiver - Student Assistant - RCC - 08-18-2020

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CONSENT, WAIVER and QUITCLAIM

I, ___________________________, of legal age, parent/guardian of _______________________________


Name of Parent/Guardian Name of Student
hereby consent to the employment of our child/ward as a student assistant in Republic Central Colleges,
_________________________ for the academic year ____________.
Department

I fully understand that my child/ward is in no way compelled by Republic Central Colleges to engage in the
forgoing employment.

I hereby guarantee my child/ward’s good behavior and actuations during his/her employment and shall keep
Republic Central Colleges, its administrators, officers and staff, free and harmless from any and all liability
arising from the fault or negligence of my child/ward.

I am fully aware of the risks involved, particularly possible injury or damage to property arising from
fortuitous events, acts of nature, or the fault or negligence of the student and/or third parties.

I am also fully aware of the risks of contracting Covid-19 at the workplace, and during the travel to and
therefrom. I guarantee that my child/ward has been made aware of the same by me, and knows his/her
lawful duties to himself/herself and other persons in relation thereto.

I hereby waive any and all rights to claim from Republic Central Colleges, its administrators, faculty and staff
for any injury, damage to property or illness my child/ward may sustain by reason of the forgoing during
his/her employment in Republic Central Colleges.

I hereby further acknowledge that this CONSENT, WAIVER & QUITCLAIM may be pleaded as a bar to any
complaint, suit, action or proceeding which may be taken of instituted on behalf of my child/ward against
Republic Central Colleges before any court of justice, administrative agency or tribunal.

I execute this Consent, Waiver and Quitclaim this ___th day of ___________________ at Angeles City,
Philippines.

___________________________________ ___________________________________
Signature of Student Signature of Parent/Guardian

REPUBLIC OF THE PHILIPPINES )


CITY OF ANGELES ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for the City of Angeles and the Province of Pampanga, this ___ day of
________________, personally appeared ____________________ presenting to me his/her ________________ ID
No. __________________ issued at ________________ on ______________ known to me and by me known to be
the same persons who executed the foregoing instrument and acknowledged to me that the same is their free
and voluntary act and deed.

The foregoing instrument is a Consent, Waiver and Quitclaim consisting of one (1) page, including the
page on which the acknowledgment is written, and signed on each and every page thereof by the parties and
their instrumental witnesses.

WITNESS MY HAND AND SEAL on the date and at the place first above-written.

Doc. No. :
Page No.:
Book No.:
Series of ______.

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