FORM: PARENT’S PERMIT
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur
College of Arts and Sciences
Website: www.unp.edu.ph Mail:
[email protected] Tel #: (077) 674-0872
________________________________
Name of the Organization
_______________
DATE
TO WHOM IT MAY CONCERN:
I hereby grant permission to ________________________________ _____________ ____
(Name of Student) (Course & Year) (Section)
my son/daughter, to participate in the following activity:
Title of Activity :____________________________________________________________
Sponsoring Organization :____________________________________________________________
Place/Venue :____________________________________________________________
Date :____________________________________________________________
I realize that activities like the above-mentioned contribute to the total development of the students and
I am willing to pay the fee/expenses related to the above activity, itemized as follows:
Fare/Bus : ₱_________________
Board/Lodging : ₱_________________
Contingency Fund : ₱_________________
TOTAL : ₱_________________
I understand that the University and its officials/faculty who are responsible for the said activity and the
sponsoring organization shall take all necessary measures to ensure the safety of my child and that I shall not
hold them responsible for any untoward incident beyond their control that may happen to my son/daughter
during the said activity.
________________________________
(Signature over Printed Name of Parent)
Noted:
__________________________________
(Signature over Printed Name of Adviser)
FATIMA F. ROCAMORA, ED.D.
Dean, CAS