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Waiver Form: Signature of Student Over Printed Name

Julie Anne Mae S. Mendoza signed a waiver form acknowledging that she understands the Dr. Filemon C. Aguilar Memorial College of Las Piñas and its employees will not be held responsible for any injuries, losses, or medical expenses incurred during her participation in the Practicum/On-the-job Training Program. By signing, she accepts full responsibility for any risks associated with the program and agrees to hold the college harmless. The waiver was also signed by her parent or guardian.

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julie anne mae mendoza
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15 views1 page

Waiver Form: Signature of Student Over Printed Name

Julie Anne Mae S. Mendoza signed a waiver form acknowledging that she understands the Dr. Filemon C. Aguilar Memorial College of Las Piñas and its employees will not be held responsible for any injuries, losses, or medical expenses incurred during her participation in the Practicum/On-the-job Training Program. By signing, she accepts full responsibility for any risks associated with the program and agrees to hold the college harmless. The waiver was also signed by her parent or guardian.

Uploaded by

julie anne mae mendoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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WAIVER FORM

I Julie Anne Mae S. Mendoza of legal age, do hereby acknowledge and understand
that neither the DR. FILEMON C. AGUILAR MEMORIAL COLLEGE OF LAS
PIAS nor its officers and employees will be held responsible for any injuries, loss,
damage or medical expenses that I might incur while undergoing the PRACTICUM/
On-the-job Training Program.

I understand that I assume all risk arising out of, associated with or related to my
participation in this program. I accept full responsibility for any injury, loss or
damage which I might sustain during my participation in this program.

__________________________________
Signature of Student over Printed Name

__________________________________
Date Signed

__________________________________
Signature of Parent/Guardian over Printed Name

__________________________________
Date Signed

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