Department of Education

Division of City Schools-Manila

PRES. CORAZON C. AQUINO HIGH SCHOOL
Baseco Compound,Port Area, Manila

SENIOR HIGH SCHOOL

SUPREME STUDENT GOVERNMENT

PARENTAL CONSENT AND WAIVER FORM

I, __________________________________, grant permission for my son/ daughter,
(Name of Parent/Guardian)

____________________________ of Grade ___ section ______ from Pres. Corazon C.

(Name of Student Volunteer)

Aquino High School (Senior High School) to participate in “PASKUHANG BAKWIT 2018” in

line with the Paper Advocacy Project Empowering Lumads (P.A.P.E.L) to be held at St.

Scholastica’s Academy of Marikina located at Marikina City on December 23, 2018, from

7:00am-1:00pm.

It is understood that _______________________________ will follow policies and guidelines

set by the school, and abide by the rules and regulations that may be imposed by the program
committee-in-charge for his/her welfare safety. I am aware that the immediate superior within
the event will take all necessary precautions to keep the students safe. However, if despite all
the efforts taken, untoward incidents beyond their control occur we will not hold Pres. Corazon
C. Aquino High School liable.
I fully agree to waive any responsibility on the part of staff-in-charge, teacher, and club adviser,
assistant principal, and principal in case of any untoward incident that may happen to my
son/daughter in the duration of outreach activity.
Signature:
Name of Signatory:
Relationship of Signatory to Student:
Date Signed:

Signature:
Name of Student Participant:
Grade and Section:
Name of SSG/ Club Adviser:
Signature of SSG/ Club Adviser:
Date Signed:

Noted by:

ZACARIAS M. BANGAYAN
Assistant Principal

CIPRIANO T. LAUIGAN
Principal

This document must be dated, signed and submitted at least one week before
December 21, 2018. One copy shall be given to the SSG/ Club adviser.

PCCAHS: Soaring to Greater Heights!

 Department of Education
Division of City Schools-Manila
PRES. CORAZON C. AQUINO HIGH SCHOOL
Baseco Compound,Port Area, Manila

SENIOR HIGH SCHOOL

SUPREME STUDENT GOVERNMENT

PCCAHS: Soaring to Greater Heights!