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  • Sample of Affidavit-Of-Waiver-And-Consent

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    Kanna Imui
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    The document is an affidavit of waiver and consent from a parent allowing their son/daughter to participate in a teaching internship program at the University of Eastern Philippines from March 20 to May 12, 2023. The parent agrees to waive any legal rights against the university and organizers for any incidents outside of their control. The parent also consents to any necessary medical treatment if the child requires care during the program. The parent provides contact information and signs the document.

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    Sample of affidavit-of-waiver-and-consent

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    The document is an affidavit of waiver and consent from a parent allowing their son/daughter to participate in a teaching internship program at the University of Eastern Philippines from March 20 to May 12, 2023. The parent agrees to waive any legal rights against the university and organizers for any incidents outside of their control. The parent also consents to any necessary medical treatment if the child requires care during the program. The parent provides contact information and signs the document.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    67 views1 page

    Sample of Affidavit-Of-Waiver-And-Consent

    Uploaded by

    Kanna Imui
    The document is an affidavit of waiver and consent from a parent allowing their son/daughter to participate in a teaching internship program at the University of Eastern Philippines from March 20 to May 12, 2023. The parent agrees to waive any legal rights against the university and organizers for any incidents outside of their control. The parent also consents to any necessary medical treatment if the child requires care during the program. The parent provides contact information and signs the document.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    UNIVERSITY OF EASTERN PHILIPPINES


    University Town, Northern Samar
    Web: uep.edu.ph email: [email protected]

    AFFIDAVIT OF WAIVER AND CONSENT

    I fully allow my son/daughter ______________________________ to attend


    and participate in the College of Education Teaching Internship for students,
    which will be held on March 20 to May 12, 2023.

    I agree to waive my rights against the College of Education and the University
    of Eastern Philippines, its officers, advisers, members and all the organizers
    of this activity and release, indemnify and hold them harmless from all claims
    of liability arising out of my child’s in this activity. I also agree that the College
    of Education and the University of Eastern Philippines, its officers, advisers,
    members and all organizers has no responsibility to my child for any incident
    beyond its control.

    Should my child require medical attention as a result of accident or serious


    illness, I do hereby grant and bestow upon the organizers of this activity
    permission and authority for and on my behalf to authorize any licensed
    medical practitioner to render medical aid and treatment.

    Ailment(s) of your child: _______________________


    Medication might need: _______________________

    _____________________________________
    Signature over Printed Name of Parent/Guardian

    _____________________________________
    Contact Number of Parent/Guardian

    JURAT

    SUBSCRIBED AND SWORN to before me, this ____day of ________,


    20__ in Catarman, Northern Samar, affiant exhibiting before me his CTC No.
    __________________, issued at __________________ on ______________.

    Doc. No ________;
    Page No. ________;
    Book No. ________;
    Series of ________;

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