Waiver
Waiver
Waiver
SOUTHERN LUZON STATE UNIVERSITY, a state university, organized, and existing under
the laws of the Republic of the Philippines, with principal office address at Quezon Ave., Brgy.
Kulapi, Lucban, Quezon, through its University President DR. MILO O. PLACINO, represented by its
Vice-President for Academic Affairs, Dr. MARISSA C. ESPERAL, hereinafter to as the “FIRST
PARTY”
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WITNESSETH:
WHEREAS, the FIRST PARTY is mandated to provide advanced education in different areas
of professional and technological instruction and to provide progressive leadership in its areas of
specialization;
WHEREAS, the FIRST PARTY, being a state university is regulated by the Commission on
Higher Education (CHED) and is bound to adhere to the policies and guidelines prescribed by the
latter in carrying out its mandates and functions;
WHEREAS, the objective of the said activity/event is to enhance and build the youngster’s
self-discipline and develop potentials in the field of __________________________________________________;
WHEREAS, the SECOND PARTY exercises parental authority over the student/participant
and allowed the latter to participate in the aforesaid activity/event.
NOW, THEREFORE, for and in consideration of the foregoing premises, the parties hereto
agree to enter into this Agreement under the following terms and conditions:
3. Be responsible for the safety and assistance of the “students” who will participate in the
aforesaid activity/event; and
4. Be hold absolutely free and harmless from any and future liabilities arising from loss,
damage, or injury that may be sustained by the “student” resulting from their
involvement in the said activity/event.
3. Understand that the attendance of the “student” in the said activity/event may expose
the latter in a variety of foreseen and unforeseen hazards and risks which includes
personal injury;
5. Hold the FIRST PARTY, its officers, faculty, and employees absolutely free and harmless
from any and future liability arising from loss, damage, or injury that may be sustained
by the aforesaid “student” resulting from the involvement in the said activity/event.
IN WITNESS WHEREOF, the parties hereto have set their hands and affixed their signatures
this _________________________ at _________________________.
ACKNOWLEDGMENT
BEFORE ME, the undersigned Notary Public, for and in the Province of Quezon, personally
appeared Dr. MARISSA C. ESPERAL with Identification Card No. ______________________________ and
_____________________________________________ with Identification Card No. ______________________________ both
known to me and known to be the same persons who executed the foregoing Memorandum of
Agreement consisting of three (3) pages including the page on which this Acknowledgment is
written, duly signed by them, and by their instrument witnesses and they acknowledged the same
to be their own, free and voluntary act and deed.