PARENT’S CONSENT FORM / WAIVER
TO WHOM THIS MAY CONCERN:
I am allowing my child_________________________________________________________
(Name of Student)
(Grade/Section) ________________________________ to participate in the
Special Robotics Training on December 11, 2018
@ DSTC Headquarters Bonnie Serrano Avenue, Quezon City
I clearly understand that the participation in the said activity is voluntary and that I will shoulder
the transportation and meal expenses for my child.
Together with my child, I know that the School (and its officers, faculty and staff) is/are expected
to exercise legal diligence for the safety and well-being of my child for the duration and place,
date, and time of the activity stated.
This legal diligence would include oral or written instructions, whether given before or during
the activity, that if followed, would ensure the safety of my child.
If my child disregards or fails to follow those instructions or should act on his/her own, I together
with my child, shall have no claims against the School (and its officers, faculty and staff) should
any damage be caused or liability be incurred to property or person.
_____________________________ _____________________________
Signature over Printed Name Signature over Printed Name
of Parent/Guardian of student
Date: __________________________ Date : ______________________
Contact No. _____________________